Jaboori, Media
Jaboori, Media is an individual health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805-4638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jaboori, Media can be contacted via phone (260) 373-4000.Contact Information
Primary practice address
2200 Randallia Dr
Fort Wayne IN 46805-4638
Phone: (260) 373-4000
Fax: (260) 482-4442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10000601 | Indiana |
Profile Details
| NPI number | 1730175506 |
|---|---|
| LBN Legal business name | Jaboori, Media |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Aug 14th, 2013 - about 11 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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