Jabbour, Antoine I
Jabbour, Antoine I is an individual health care provider with primary practice located at 4802 S 109Th East Ave , Tulsa OK 74146-5822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Jabbour, Antoine I can be contacted via phone (918) 392-1400.Contact Information
Primary practice address
4802 S 109Th East Ave
Tulsa OK 74146-5822
Phone: (918) 392-1400
Fax: (918) 392-1488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 17674 | Oklahoma |
Profile Details
| NPI number | 1588632905 |
|---|---|
| LBN Legal business name | Jabbour, Antoine I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Feb 8th, 2017 - about 8 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 | 1588632905 | NPPES |
| Oklahoma | Other | 200036113 | RAILROAD MEDICARE |
| Oklahoma | MEDICAID | 100096590A | RAILROAD MEDICARE |
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