Jaber, Randa

Jaber, Randa is an individual health care provider with primary practice located at 46 Fairview Ave Suite 111, Skowhegan ME 04976-1481. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Jaber, Randa can be contacted via phone (207) 474-0905.

Contact Information

Primary practice address
46 Fairview Ave Suite 111 Skowhegan ME 04976-1481
Phone: (207) 474-0905
Fax: (207) 474-6930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD19971 Maine

Profile Details

NPI number 1972815165
LBN Legal business name Jaber, Randa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2010
Last updated Aug 11th, 2015 - about 9 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 1972815165 NPPES
Maine MEDICAID 1972815167

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