Bishko, Jay Richard
Bishko, Jay Richard is an individual health care provider with primary practice located at 8954 Hospital Dr , Douglasville GA 30134-2272. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bishko, Jay Richard can be contacted via phone (770) 920-6413.Contact Information
Primary practice address
8954 Hospital Dr
Douglasville GA 30134-2272
Phone: (770) 920-6413
Fax: (678) 838-2532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 020297 | Georgia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 020297 | Georgia |
Profile Details
| NPI number | 1528040441 |
|---|---|
| LBN Legal business name | Bishko, Jay Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Feb 18th, 2010 - about 14 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 | 1528040441 | NPPES |
| Georgia | MEDICAID | 491431789A | |
| Georgia | MEDICAID | 000210471G | |
| Georgia | MEDICAID | 000210471E |
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