Jabez, Jegan
Jabez, Jegan is an sole proprietor health care provider with primary practice located at 1686 Colfax Ave , Benton Harbor MI 49022-7355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jabez, Jegan can be contacted via phone (269) 925-8842.Contact Information
Primary practice address
1686 Colfax Ave
Benton Harbor MI 49022-7355
Phone: (269) 925-8842
Fax: (269) 925-8847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301064652 | Michigan |
Profile Details
| NPI number | 1073694006 |
|---|---|
| LBN Legal business name | Jabez, Jegan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Oct 18th, 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 | 1073694006 | NPPES |
| Michigan | Other | 1101111252 | BC/BS |
| Michigan | Other | 4301064652 | BC/BS |
| Michigan | MEDICAID | 415194310 | BC/BS |
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