De Vera, Jay

De Vera, Jay is an sole proprietor health care provider with primary practice located at 417 W Elizabeth St Apt A , Clinton NC 28328-4465. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. De Vera, Jay can be contacted via phone (443) 562-7065.

Contact Information

Primary practice address
417 W Elizabeth St Apt A Clinton NC 28328-4465
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X P12962 North Carolina

Profile Details

NPI number 1366870347
LBN Legal business name De Vera, Jay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2013
Last updated Oct 29th, 2013 - about 11 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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