Shay, Jeffery D.

Shay, Jeffery D. is an individual health care provider with primary practice located at Guam Medical Plaza, Ste. 210 633 Gov. Camacho Rd, Tamuning GU 96913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Shay, Jeffery D. can be contacted via phone (671) 649-1001.

Contact Information

Primary practice address
Guam Medical Plaza, Ste. 210 633 Gov. Camacho Rd Tamuning GU 96913
Phone: (671) 649-1001
Fax: (671) 649-1002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME83145 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X M-1885 Guam

Profile Details

NPI number 1568462513
LBN Legal business name Shay, Jeffery D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Oct 17th, 2016 - about 8 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 1568462513 NPPES
Florida MEDICAID 262972100

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