Daboul, Isam
Daboul, Isam is an individual health care provider with primary practice located at 2702 Navarre Ave Suite 106, Oregon OH 43616-3223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Daboul, Isam can be contacted via phone (419) 383-3742.Contact Information
Primary practice address
2702 Navarre Ave Suite 106
Oregon OH 43616-3223
Phone: (419) 383-3742
Fax: (419) 383-6244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35079506 | Ohio |
Profile Details
| NPI number | 1306820618 |
|---|---|
| LBN Legal business name | Daboul, Isam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jul 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306820618 | NPPES |
| Ohio | MEDICAID | 2250424 |
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