Musgrave, Jay Bradley

Musgrave, Jay Bradley is an individual health care provider with primary practice located at 1221 Kingsway Dr Suite 5, Cape Girardeau MO 63701-3603. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Musgrave, Jay Bradley can be contacted via phone (573) 651-4206.

Contact Information

Primary practice address
1221 Kingsway Dr Suite 5 Cape Girardeau MO 63701-3603
Fax: (573) 339-0053
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000568 Missouri

Profile Details

NPI number 1811941420
LBN Legal business name Musgrave, Jay Bradley
Credentials PHD, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1811941420 NPPES
Missouri Other 5634 BLUE CROSS

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