Bishop, Jay R

Bishop, Jay R is an individual health care provider with primary practice located at 350 W Country Club Rd Suite#205, Roswell NM 88201-5205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bishop, Jay R can be contacted via phone (575) 622-7593.

Contact Information

Primary practice address
350 W Country Club Rd Suite#205 Roswell NM 88201-5205
Phone: (575) 622-7593
Fax: (575) 622-5538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 46011 Wisconsin
Allopathic & Osteopathic Physicians / Urology 208800000X A-1577-10 New Mexico

Profile Details

NPI number 1407846850
LBN Legal business name Bishop, Jay R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Nov 21st, 2023 - about last year

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 1407846850 NPPES
Wisconsin Other 390807236AE UNITY
Wisconsin Other 13590 UNITY
Wisconsin Other NPI & TIN# UNITY
Wisconsin Other WI01K8 UNITY
Wisconsin Other P00061174 UNITY
Wisconsin MEDICAID 43509400 UNITY
Wisconsin MEDICAID 00040021 UNITY
Wisconsin Other 46011 UNITY

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