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Contact Information

ERNEST R JABOUR
3850 FOOTHILLS
SUITE 9
LAS CRUCES, NM88011
 Phone: 661-858-6106
 Fax: 575-532-1665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ERNEST R JABOUR · (Male)

NPI Number 1306815691
Status Active
Credentials
Entity Individual
Enumeration date 03/17/2006
Last updated 10/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G87945
  • CO License # DR.0053085
  • NM License # 99226
  • NM Medicaid Z8514
  • NM Other NM014386 BLUE CROSS
  • NM Other P00227430 RAILROAD MEDICARE
Hospital affiliation(s)
  • GERALD CHAMPION REGIONAL MEDICAL CENTE - (Acute Care)
    2669 NORTH SCENIC DRIVE
    ALAMOGORDO, NM 88310
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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