Seidler, Jay Richard

Seidler, Jay Richard is an individual health care provider with primary practice located at 865 W Lake Dr , Mount Airy NC 27030-2157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Seidler, Jay Richard can be contacted via phone (336) 719-6100.

Contact Information

Primary practice address
865 W Lake Dr Mount Airy NC 27030-2157
Phone: (336) 719-6100
Fax: (336) 719-2313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34007261 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2010-00404 North Carolina

Profile Details

NPI number 1962407254
LBN Legal business name Seidler, Jay Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Oct 25th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962407254 NPPES
North Carolina MEDICAID 5914840
North Carolina MEDICAID 1962407254
North Carolina MEDICAID 2252968
North Carolina MEDICAID 2001246000

Popular Providers