Al Jazrawi, Maryam

Al Jazrawi, Maryam is an individual health care provider with primary practice located at 23007 Telegraph Rd , Flat Rock MI 48134-9028. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Al Jazrawi, Maryam can be contacted via phone (734) 475-6663.

Contact Information

Primary practice address
23007 Telegraph Rd Flat Rock MI 48134-9028
Phone: (734) 475-6663
Fax: (734) 675-8077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302413155 Michigan

Profile Details

NPI number 1609462985
LBN Legal business name Al Jazrawi, Maryam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2020
Last updated Dec 21st, 2020 - about 5 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 1609462985 NPPES
Michigan MEDICAID 5302413155

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