Jimaale, Jabrill Omar
Jimaale, Jabrill Omar is an sole proprietor health care provider with primary practice located at 5725 E Lancaster Ave , Fort Worth TX 76112-6528. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Jimaale, Jabrill Omar can be contacted via phone (817) 851-1663.Contact Information
Primary practice address
5725 E Lancaster Ave
Fort Worth TX 76112-6528
Phone: (817) 851-1663
Fax: (817) 851-1664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | T950225934414 | Minnesota |
Profile Details
| NPI number | 1912539024 |
|---|---|
| LBN Legal business name | Jimaale, Jabrill Omar |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2020 |
| Last updated | Feb 6th, 2020 - about 4 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 | 1912539024 | NPPES |
| Texas | Other | 842077605 | NON EMERGENCY MEDICAL TRANSPORTATION |
| Texas | Other | 842077605 | NON EMERGENCY MEDICAL TRANSPORTATION |
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