Cabrera, Jasmin R

Cabrera, Jasmin R is an individual health care provider with primary practice located at 3740 Utica Ridge Rd Suite B, Bettendorf IA 52722-1657. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cabrera, Jasmin R can be contacted via phone (563) 344-7400.

Contact Information

Primary practice address
3740 Utica Ridge Rd Suite B Bettendorf IA 52722-1657
Phone: (563) 344-7400
Fax: (563) 359-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.119880 Illinois

Profile Details

NPI number 1003086364
LBN Legal business name Cabrera, Jasmin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2008
Last updated Jul 14th, 2016 - about 9 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 1003086364 NPPES
Illinois MEDICAID 036119880
Illinois Other 72295
Illinois Other 37559
Illinois Other 036.119880
Illinois Other 349150

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