Determan, Jay Alan

Determan, Jay Alan is an sole proprietor health care provider with primary practice located at 855 12Th St Nw Apt 206 , Valley City ND 58072-2042. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Determan, Jay Alan can be contacted via phone (605) 830-0603.

Contact Information

Primary practice address
855 12Th St Nw Apt 206 Valley City ND 58072-2042
Phone: (605) 830-0603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0700 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1982100699
LBN Legal business name Determan, Jay Alan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2018
Last updated Mar 25th, 2024 - about 9 months 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 1982100699 NPPES
South Dakota Other 0700 CERTIFIED ATHLETIC TRAINER

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