Griffith, Jay Roland

Griffith, Jay Roland is an individual health care provider with primary practice located at 317 S Main St , Upland IN 46989-9358. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Griffith, Jay Roland can be contacted via phone (740) 877-4157.

Contact Information

Primary practice address
317 S Main St Upland IN 46989-9358
Phone: (740) 877-4157
Fax: (740) 344-2651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X F.1400008 Ohio

Profile Details

NPI number 1003220617
LBN Legal business name Griffith, Jay Roland
Credentials IMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2014
Last updated Jan 18th, 2023 - 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 1003220617 NPPES
Ohio MEDICAID 0156410

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