Joubert, James Ira
Joubert, James Ira is an individual health care provider with primary practice located at 1615 Delaware St Box 3002, Longview WA 98632-2367. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Joubert, James Ira can be contacted via phone (360) 414-2000.Contact Information
Primary practice address
1615 Delaware St Box 3002
Longview WA 98632-2367
Phone: (360) 414-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | MD60048714 | Washington |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | MD29093 | Oregon |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD60048714 | Washington |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD29093 | Oregon |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD.202490 | Louisiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 27194 | South Carolina |
Profile Details
| NPI number | 1538259619 |
|---|---|
| LBN Legal business name | Joubert, James Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Apr 9th, 2010 - about 16 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 | 1538259619 | NPPES |
| Oregon | MEDICAID | 026112 | |
| Oregon | Other | 242365 | |
| Oregon | MEDICAID | 8527988 | |
| Oregon | Other | P00766906 |
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