Jain, Jyoti
Jain, Jyoti is an sole proprietor health care provider with primary practice located at 6448 Broadway Blvd , Garland TX 75043-5943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Jain, Jyoti can be contacted via phone (972) 216-8500.Contact Information
Primary practice address
6448 Broadway Blvd
Garland TX 75043-5943
Phone: (972) 216-8500
Fax: (972) 216-8521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | J9110 | Texas |
Profile Details
| NPI number | 1932111945 |
|---|---|
| LBN Legal business name | Jain, Jyoti |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Apr 18th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932111945 | NPPES |
| Texas | Other | 00T52V | BLUE SHIELD |
| Texas | MEDICAID | 111658401 | BLUE SHIELD |
| Texas | Other | 75-2795302 | BLUE SHIELD |
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