Paul, Lawrence Jay

Paul, Lawrence Jay is an sole proprietor health care provider with primary practice located at 4 Cottonwood Ct , Lafayette Hill PA 19444-2325. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Paul, Lawrence Jay can be contacted via phone (610) 564-4898.

Contact Information

Primary practice address
4 Cottonwood Ct Lafayette Hill PA 19444-2325
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS-023790-L Pennsylvania

Profile Details

NPI number 1629264585
LBN Legal business name Paul, Lawrence Jay
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2007
Last updated Sep 24th, 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 1629264585 NPPES
Pennsylvania MEDICAID 101904982001

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