Shay, Jed

Shay, Jed is an individual health care provider with primary practice located at 2620 Commercial Way Ste 20 , Rock Springs WY 82901-4705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Shay, Jed can be contacted via phone (307) 212-6270.

Contact Information

Primary practice address
2620 Commercial Way Ste 20 Rock Springs WY 82901-4705
Phone: (307) 212-6270
Fax: (307) 212-6271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 8748A Wyoming

Profile Details

NPI number 1851383822
LBN Legal business name Shay, Jed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 26th, 2021 - about 3 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 1851383822 NPPES
Wyoming MEDICAID 132444600

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