Egolf, Jay

Egolf, Jay is an individual health care provider with primary practice located at 1400 Gay St , Portsmouth OH 45662-3475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Egolf, Jay can be contacted via phone (866) 587-8790.

Contact Information

Primary practice address
1400 Gay St Portsmouth OH 45662-3475
Phone: (866) 587-8790
Fax: (740) 774-4061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35083563 Ohio

Profile Details

NPI number 1225085251
LBN Legal business name Egolf, Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Dec 28th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225085251 NPPES
Ohio MEDICAID 2483950

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