Chanmugam, Jay C

Chanmugam, Jay C is an individual health care provider with primary practice located at 1133 Saxon Blvd , Orange City FL 32763-8425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Chanmugam, Jay C can be contacted via phone (386) 228-9700.

Contact Information

Primary practice address
1133 Saxon Blvd Orange City FL 32763-8425
Phone: (386) 228-9700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS8600 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS8600 Florida

Profile Details

NPI number 1518905207
LBN Legal business name Chanmugam, Jay C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 28th, 2022 - about 2 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 1518905207 NPPES
Florida Other 71397 BLUE CROSS
Florida Other 106634 BLUE CROSS
Florida MEDICAID 267573100 BLUE CROSS

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