Graver, Jay Douglas
Graver, Jay Douglas is an individual health care provider with primary practice located at 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/Sghc Poc: Ms Darlon Jackson, Jbsa-Lackland TX 78256-9908. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Graver, Jay Douglas can be contacted via phone (210) 292-6225.Contact Information
Primary practice address
1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/Sghc Poc: Ms Darlon Jackson
Jbsa-Lackland TX 78256-9908
Phone: (210) 292-6225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | DS025182L | Pennsylvania |
Profile Details
| NPI number | 1356327639 |
|---|---|
| LBN Legal business name | Graver, Jay Douglas |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Aug 5th, 2019 - about 5 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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