Musmand, Jonathan Jay

Musmand, Jonathan Jay is an individual health care provider with primary practice located at 195 Fore River Pkwy Suite 410, Portland ME 04102-2780. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Musmand, Jonathan Jay can be contacted via phone (207) 774-9839.

Contact Information

Primary practice address
195 Fore River Pkwy Suite 410 Portland ME 04102-2780
Phone: (207) 774-9839
Fax: (207) 761-2127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 013825 Maine
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 013825 Maine

Profile Details

NPI number 1982652707
LBN Legal business name Musmand, Jonathan Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 13th, 2015 - about 10 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 1982652707 NPPES
Maine MEDICAID 110740000

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