Jenkins, Jay Carl

Jenkins, Jay Carl is an individual health care provider with primary practice located at 6525A W Houghton Lake Dr , Houghton Lake MI 48629-9789. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jenkins, Jay Carl can be contacted via phone (989) 422-5731.

Contact Information

Primary practice address
6525A W Houghton Lake Dr Houghton Lake MI 48629-9789
Phone: (989) 422-5731
Fax: (989) 422-2534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003630 Michigan

Profile Details

NPI number 1841230711
LBN Legal business name Jenkins, Jay Carl
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jun 29th, 2012 - about 12 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 1841230711 NPPES
Michigan Other 13147 SPECTERA
Michigan Other 230603 SPECTERA
Michigan Other 900G210200 SPECTERA
Michigan MEDICAID 943380807 SPECTERA
Michigan Other 13146 SPECTERA
Michigan Other MI3630 SPECTERA
Michigan Other 1178430001 SPECTERA
Michigan Other 410036674 SPECTERA
Michigan Other P35872F SPECTERA
Michigan Other 900022079 SPECTERA
Michigan Other 900G210200 SPECTERA
Michigan MEDICAID 943380772 SPECTERA

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