Forman, Jay Miles

Forman, Jay Miles is an individual health care provider with primary practice located at 7544 Hospital Dr Suite 202A, Gloucester VA 23061-4178. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Forman, Jay Miles can be contacted via phone (804) 693-0529.

Contact Information

Primary practice address
7544 Hospital Dr Suite 202A Gloucester VA 23061-4178
Phone: (804) 693-0529
Fax: (804) 693-1670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110003739 Virginia

Profile Details

NPI number 1073826517
LBN Legal business name Forman, Jay Miles
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2010
Last updated Nov 26th, 2013 - 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.

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