Beiswanger, Jay Conrad

Beiswanger, Jay Conrad is an individual health care provider with primary practice located at 80 Doctors Dr , Panama City FL 32405-4517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Beiswanger, Jay Conrad can be contacted via phone (850) 785-8557.

Contact Information

Primary practice address
80 Doctors Dr Panama City FL 32405-4517
Phone: (850) 785-8557
Fax: (850) 785-3497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME0076055 Florida

Profile Details

NPI number 1053306639
LBN Legal business name Beiswanger, Jay Conrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Dec 31st, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053306639 NPPES
Florida MEDICAID 254751100

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