Ayala, Jaime
Ayala, Jaime is an individual health care provider with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ayala, Jaime can be contacted via phone (616) 455-5270.Contact Information
Primary practice address
300 68Th St Se
Grand Rapids MI 49548-6927
Phone: (616) 455-5270
Fax: (616) 455-5460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301029142 | Michigan |
Profile Details
| NPI number | 1235180720 |
|---|---|
| LBN Legal business name | Ayala, Jaime |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235180720 | NPPES |
| Michigan | MEDICAID | 4685751 |
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