Dabbs, Jack Melvin

Dabbs, Jack Melvin is an individual health care provider with primary practice located at 652 Lomb Ave , Birmingham AL 35211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Dabbs, Jack Melvin can be contacted via phone (205) 787-1457.

Contact Information

Primary practice address
652 Lomb Ave Birmingham AL 35211
Phone: (205) 787-1457
Fax: (205) 788-0073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 00002799 Alabama

Profile Details

NPI number 1912974056
LBN Legal business name Dabbs, Jack Melvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Nov 18th, 2011 - about 14 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 1912974056 NPPES
Other 042010575 PALMETTO GOVERNMENT CLAIM
Other 1010211 PALMETTO GOVERNMENT CLAIM
MEDICAID 000001564 PALMETTO GOVERNMENT CLAIM

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