Abou-Jaoude, Michelle Mary
Abou-Jaoude, Michelle Mary is an individual health care provider with primary practice located at 601 Perimeter Dr Ste 200 , Lexington KY 40517-4121. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Abou-Jaoude, Michelle Mary can be contacted via phone (859) 278-9393.Contact Information
Primary practice address
601 Perimeter Dr Ste 200
Lexington KY 40517-4121
Phone: (859) 278-9393
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 52488 | Kentucky |
Profile Details
| NPI number | 1063895613 |
|---|---|
| LBN Legal business name | Abou-Jaoude, Michelle Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2015 |
| Last updated | Oct 18th, 2021 - 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 | 1063895613 | NPPES |
| Kentucky | MEDICAID | 7100424310 | |
| Kentucky | MEDICAID | 1063895613 | |
| Kentucky | MEDICAID | 300025130 | |
| Kentucky | MEDICAID | 0346494 |
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