Ghoubrial, Jaylaine
Ghoubrial, Jaylaine is an individual health care provider with primary practice located at 175 Martin Ave Ste 125 , Ephrata PA 17522-1761. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Ghoubrial, Jaylaine can be contacted via phone (717) 721-5700.Contact Information
Primary practice address
175 Martin Ave Ste 125
Ephrata PA 17522-1761
Phone: (717) 721-5700
Fax: (717) 721-5712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | MD422153 | Pennsylvania |
Profile Details
| NPI number | 1144293754 |
|---|---|
| LBN Legal business name | Ghoubrial, Jaylaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Apr 8th, 2022 - about 3 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 | 1144293754 | NPPES |
| Pennsylvania | MEDICAID | 101104746 |
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