Jabbour, Nizam
Jabbour, Nizam is an sole proprietor health care provider with primary practice located at 153 Academy St , Poughkeepsie NY 12601-4521. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jabbour, Nizam can be contacted via phone (845) 454-0560.Contact Information
Primary practice address
153 Academy St
Poughkeepsie NY 12601-4521
Phone: (845) 454-0560
Fax: (845) 454-0563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 047351-1 | New York |
Profile Details
| NPI number | 1316066046 |
|---|---|
| LBN Legal business name | Jabbour, Nizam |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1316066046 | NPPES |
| New York | MEDICAID | 02156036 |
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