Individual
BERNADETTE JABOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2600 SIXTH ST SW, OHIO HOSPITAL BASED PHYSICIANS CORP, CANTON, OH 44710
(330) 363-7462
(330) 363-7679
Mailing address
2600 SIXTH ST SW, OHIO HOSPITAL BASED PHYSICIANS CORP, CANTON, OH 44710
(330) 363-7462
(330) 363-7679
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34002850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0468506
—
OH
Enumeration date
04/17/2006
Last updated
11/03/2007
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