Rossell, Jay M

Rossell, Jay M is an individual health care provider with primary practice located at 221 Third Street West 12Th Medical Group, Randolph Afb TX 78150-4801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rossell, Jay M can be contacted via phone (210) 652-1846.

Contact Information

Primary practice address
221 Third Street West 12Th Medical Group Randolph Afb TX 78150-4801
Phone: (210) 652-1846
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1822 North Dakota

Profile Details

NPI number 1982691267
LBN Legal business name Rossell, Jay M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jul 8th, 2007 - about 17 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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