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Contact Information

JAD JABBOUR
6035 FAIRVIEW RD
CHARLOTTE, NC28210
 Phone: 704-295-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JAD JABBOUR · (Male)

NPI Number 1700142551
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2012
Last updated 04/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2018-00516
  • NC Medicaid PENDING
Hospital affiliation(s) Not Available
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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