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Contact Information

KHALIL ABU JUBARA, DPM
36500 S GRATIOT AVE STE 202
CILNTON TOWNSHIP, MI48035-1772
 Phone: 586-790-9003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KHALIL ABU JUBARA · (Male)

NPI # 1467294645
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/10/2024
Last updated 06/10/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5951001525
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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