Marsolan, Jay A
Marsolan, Jay A is an individual health care provider with primary practice located at 1509 W Loop 281 , Longview TX 75604-2820. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Marsolan, Jay A can be contacted via phone (903) 759-9355.Contact Information
Primary practice address
1509 W Loop 281
Longview TX 75604-2820
Phone: (903) 759-9355
Fax: (903) 759-2606
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 701468 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP120969 | Texas |
Profile Details
NPI number | 1972883791 |
---|---|
LBN Legal business name | Marsolan, Jay A |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2011 |
Last updated | Aug 19th, 2015 - about 9 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 | 1972883791 | NPPES |
Texas | MEDICAID | 290394002 |
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