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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1407808330 NPPES
Wisconsin MEDICAID 34194600

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