Magen, Jed Gary
Magen, Jed Gary is an individual health care provider with primary practice located at 909 Fee Rd Room B119 Michigan State University Department Of Psychiatry, East Lansing MI 48824-3603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Magen, Jed Gary can be contacted via phone (517) 353-3070.Contact Information
Primary practice address
909 Fee Rd Room B119 Michigan State University Department Of Psychiatry
East Lansing MI 48824-3603
Phone: (517) 353-3070
Fax: (517) 432-3603
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5101007621 | Michigan |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 5101007621 | Michigan |
Profile Details
NPI number | 1619951936 |
---|---|
LBN Legal business name | Magen, Jed Gary |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2005 |
Last updated | Mar 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619951936 | NPPES |
Michigan | MEDICAID | 1619951936 | |
Michigan | MEDICAID | 2574234 |
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