Smith, Jay L
Smith, Jay L is an sole proprietor health care provider with primary practice located at 1072 N Main St Bowling Green Pain Clinic, Bowling Green OH 43402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Smith, Jay L can be contacted via phone (419) 354-6166.Contact Information
Primary practice address
1072 N Main St Bowling Green Pain Clinic
Bowling Green OH 43402
Phone: (419) 354-6166
Fax: (419) 354-6756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 35044006 | Ohio |
Profile Details
| NPI number | 1124079009 |
|---|---|
| LBN Legal business name | Smith, Jay L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Dec 18th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124079009 | NPPES |
| Ohio | MEDICAID | 0547671 |
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