Beiswanger, Jay Conrad
Beiswanger, Jay Conrad is an individual health care provider with primary practice located at 80 Doctors Dr , Panama City FL 32405-4517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Beiswanger, Jay Conrad can be contacted via phone (850) 785-8557.Contact Information
Primary practice address
80 Doctors Dr
Panama City FL 32405-4517
Phone: (850) 785-8557
Fax: (850) 785-3497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME0076055 | Florida |
Profile Details
| NPI number | 1053306639 |
|---|---|
| LBN Legal business name | Beiswanger, Jay Conrad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Dec 31st, 2009 - about 17 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 | 1053306639 | NPPES |
| Florida | MEDICAID | 254751100 |
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