Provider Demographics
NPI:1144346040
Name:GJ INTERNATIONAL CONSULTANTS, INC
Entity type:Organization
Organization Name:GJ INTERNATIONAL CONSULTANTS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGES
Authorized Official - Middle Name:
Authorized Official - Last Name:JABALY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-882-6784
Mailing Address - Street 1:4405 N HOLLAND SYLVANIA RD STE 104
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3533
Mailing Address - Country:US
Mailing Address - Phone:419-882-6784
Mailing Address - Fax:419-882-4795
Practice Address - Street 1:4405 N HOLLAND SYLVANIA RD STE 104
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3533
Practice Address - Country:US
Practice Address - Phone:419-882-6784
Practice Address - Fax:419-882-4795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2878917Medicaid
OHDD6491OtherRAILROAD MEDICARE
OH000000322152OtherANTHEM
OHDD6491OtherRAILROAD MEDICARE
OH=========-00OtherBWC
OH9343991Medicare PIN