Abou-Chakra, Iman S

Abou-Chakra, Iman S is an individual health care provider with primary practice located at 1201 E Michigan Ave Ste 300, Jackson MI 49201-1852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Abou-Chakra, Iman S can be contacted via phone (517) 841-1431.

Contact Information

Primary practice address
1201 E Michigan Ave Ste 300 Jackson MI 49201-1852
Phone: (517) 841-1431
Fax: (517) 841-1432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 35083590 Ohio
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301082675 Michigan

Profile Details

NPI number 1952373078
LBN Legal business name Abou-Chakra, Iman S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 7th, 2012 - about 12 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 1952373078 NPPES
Ohio Other 000000363133 ANTHEM INS
Ohio MEDICAID 2478591 ANTHEM INS
Ohio Other 7138550 ANTHEM INS
Ohio Other 270046615-001 ANTHEM INS
Ohio Other P00191177 ANTHEM INS
Ohio Other 11195950 ANTHEM INS

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