Minorik, Jay Michael
Minorik, Jay Michael is an individual health care provider with primary practice located at 2105 E Enterprise Ave , Appleton WI 54913-7862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Minorik, Jay Michael can be contacted via phone (920) 731-6611.Contact Information
Primary practice address
2105 E Enterprise Ave
Appleton WI 54913-7862
Phone: (920) 731-6611
Fax: (920) 731-6732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 44327 | Wisconsin |
Profile Details
| NPI number | 1407808330 |
|---|---|
| LBN Legal business name | Minorik, Jay Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 15th, 2023 - about last year |
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 | 1407808330 | NPPES |
| Wisconsin | MEDICAID | 34194600 |
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