Jibril, Deanah A

Jibril, Deanah A is an sole proprietor health care provider with primary practice located at 19330 Jesse Ln Ste 100 , Riverside CA 92508-5077. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jibril, Deanah A can be contacted via phone (951) 847-8000.

Contact Information

Primary practice address
19330 Jesse Ln Ste 100 Riverside CA 92508-5077
Phone: (951) 847-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20A17489 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X J9718 Texas

Profile Details

NPI number 1134183114
LBN Legal business name Jibril, Deanah A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Feb 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134183114 NPPES
Texas Other 0060DF BLUE CROSS
Texas Other 2362989 BLUE CROSS
Texas MEDICAID 030902301 BLUE CROSS
Texas Other 2544257 BLUE CROSS

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