Jay, Michael R

Jay, Michael R is an individual health care provider with primary practice located at 421 W Exchange St , Freeport IL 61032-4030. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jay, Michael R can be contacted via phone (815) 599-7300.

Contact Information

Primary practice address
421 W Exchange St Freeport IL 61032-4030
Phone: (815) 599-7300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 180006192 Illinois

Profile Details

NPI number 1801003462
LBN Legal business name Jay, Michael R
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated May 27th, 2008 - about 17 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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