Provider Demographics
NPI:1194921775
Name:SAKR, JIHAD (DC)
Entity type:Individual
Prefix:DR
First Name:JIHAD
Middle Name:
Last Name:SAKR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13201 S WAKIAL LOOP APT 1078
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-5025
Mailing Address - Country:US
Mailing Address - Phone:480-329-9960
Mailing Address - Fax:
Practice Address - Street 1:2701 N 16TH ST STE 107
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-1264
Practice Address - Country:US
Practice Address - Phone:602-277-6677
Practice Address - Fax:602-277-6789
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor