Tay, John C
Tay, John C is an sole proprietor health care provider with primary practice located at 630 Randy Ln , Fort Myers Beach FL 33931-4018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tay, John C can be contacted via phone (239) 463-2723.Contact Information
Primary practice address
630 Randy Ln
Fort Myers Beach FL 33931-4018
Phone: (239) 463-2723
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036049707 | Illinois |
Profile Details
| NPI number | 1043530454 |
|---|---|
| LBN Legal business name | Tay, John C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2010 |
| Last updated | Apr 16th, 2011 - about 13 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 | 1043530454 | NPPES |
| Illinois | MEDICAID | 036049709 |
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