Stanley, Jay M
Stanley, Jay M is an individual health care provider with primary practice located at 705 E Marshall Ave , Longview TX 75601-5573. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Stanley, Jay M can be contacted via phone (903) 315-2000.Contact Information
Primary practice address
705 E Marshall Ave
Longview TX 75601-5573
Phone: (903) 315-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 29485 | Oklahoma |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | N6040 | Texas |
Profile Details
| NPI number | 1184808677 |
|---|---|
| LBN Legal business name | Stanley, Jay M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2007 |
| Last updated | Jan 21st, 2021 - 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 | 1184808677 | NPPES |
| Texas | Other | P02587354 | MEDICARE RAILROAD |
| Texas | MEDICAID | 214084005 | MEDICARE RAILROAD |
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