Jabboure, Jose Ph
Jabboure, Jose Ph is an individual health care provider with primary practice located at 4785 Leavitt Rd , Lorain OH 44053-2136. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jabboure, Jose Ph can be contacted via phone (440) 282-6677.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20508 | Ohio |
Profile Details
| NPI number | 1649378936 |
|---|---|
| LBN Legal business name | Jabboure, Jose Ph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 8th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649378936 | NPPES |
| Ohio | MEDICAID | 2061343 |
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