Fazeli, Jabbar

Fazeli, Jabbar is an individual health care provider with primary practice located at 22 W Cole Rd Ste 101 , Biddeford ME 04005-9431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Fazeli, Jabbar can be contacted via phone (207) 780-6565.

Contact Information

Primary practice address
22 W Cole Rd Ste 101 Biddeford ME 04005-9431
Phone: (207) 780-6565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 015513 Maine

Profile Details

NPI number 1649363805
LBN Legal business name Fazeli, Jabbar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 15th, 2021 - about 4 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 1649363805 NPPES
Maine MEDICAID 227900099

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