Dujon, Jay Edgar

Dujon, Jay Edgar is an individual health care provider with primary practice located at 1221 Sixth St Ste 300 , Traverse City MI 49684-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dujon, Jay Edgar can be contacted via phone (231) 935-2400.

Contact Information

Primary practice address
1221 Sixth St Ste 300 Traverse City MI 49684-2360
Phone: (231) 935-2400
Fax: (231) 935-2424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 206790 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301086439 Michigan

Profile Details

NPI number 1578734158
LBN Legal business name Dujon, Jay Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2008
Last updated May 10th, 2021 - about 3 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 1578734158 NPPES
Louisiana MEDICAID 2356461
Louisiana Other 348363YH54

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