Theva, Jay Muruga

Theva, Jay Muruga is an sole proprietor health care provider with primary practice located at 200 Westgate Dr Ste 119 , Brockton MA 02301-1810. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Theva, Jay Muruga can be contacted via phone (508) 583-3840.

Contact Information

Primary practice address
200 Westgate Dr Ste 119 Brockton MA 02301-1810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN1855979 Massachusetts

Profile Details

NPI number 1558622753
LBN Legal business name Theva, Jay Muruga
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2012
Last updated Jun 4th, 2012 - about 12 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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