Jay, Mary Susan

Jay, Mary Susan is an individual health care provider with primary practice located at 8915 W Connell Ave , Milwaukee WI 53226-3067. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Jay, Mary Susan can be contacted via phone (414) 266-2873.

Contact Information

Primary practice address
8915 W Connell Ave Milwaukee WI 53226-3067
Phone: (414) 266-2873
Fax: (414) 337-7860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 47315 Wisconsin

Profile Details

NPI number 1649221482
LBN Legal business name Jay, Mary Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jun 3rd, 2019 - about 6 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 1649221482 NPPES
Other 000030377M HUMANA
MEDICAID 1649221482 HUMANA
MEDICAID 34582200 HUMANA

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