Gottschalk, Jay Randall

Gottschalk, Jay Randall is an individual health care provider with primary practice located at 804 Service Rd Ste A110 , East Lansing MI 48824-7015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gottschalk, Jay Randall can be contacted via phone (517) 353-8122.

Contact Information

Primary practice address
804 Service Rd Ste A110 East Lansing MI 48824-7015
Phone: (517) 353-8122
Fax: (517) 432-3713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 4704296264 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704296264 Michigan

Profile Details

NPI number 1437660248
LBN Legal business name Gottschalk, Jay Randall
Credentials PHD, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2017
Last updated Feb 27th, 2024 - about 10 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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