Jaafar, Mazen
Jaafar, Mazen is an sole proprietor health care provider with primary practice located at 5000 Ky Route 321 Ste 3124 , Prestonsburg KY 41653-9113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jaafar, Mazen can be contacted via phone (606) 886-7635.Contact Information
Primary practice address
5000 Ky Route 321 Ste 3124
Prestonsburg KY 41653-9113
Phone: (606) 886-7635
Fax: (606) 886-7680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 30466 | Kentucky |
Profile Details
| NPI number | 1750302782 |
|---|---|
| LBN Legal business name | Jaafar, Mazen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Oct 6th, 2014 - about 10 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 | 1750302782 | NPPES |
| Kentucky | MEDICAID | 64304660 |
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