Gade, Jay N
Gade, Jay N is an individual health care provider with primary practice located at 2440 Nw Edenbower Blvd , Roseburg OR 97471-8847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gade, Jay N can be contacted via phone (541) 957-1141.Contact Information
Primary practice address
2440 Nw Edenbower Blvd
Roseburg OR 97471-8847
Phone: (541) 957-1141
Fax: (541) 957-1466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD20360 | Oregon |
Profile Details
| NPI number | 1447222724 |
|---|---|
| LBN Legal business name | Gade, Jay N |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447222724 | NPPES |
| Oregon | MEDICAID | 150092 |
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