Horowitz, Jay Lenard

Horowitz, Jay Lenard is an sole proprietor health care provider with primary practice located at 3701 12Th St N Suite 202, Saint Cloud MN 56303-2255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Horowitz, Jay Lenard can be contacted via phone (320) 258-3090.

Contact Information

Primary practice address
3701 12Th St N Suite 202 Saint Cloud MN 56303-2255
Phone: (320) 258-3090
Fax: (320) 258-3095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00029475 Washington

Profile Details

NPI number 1285684415
LBN Legal business name Horowitz, Jay Lenard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Nov 20th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285684415 NPPES
Washington Other 101525 L&I ID#
Washington Other 242719001 L&I ID#
Washington Other 8198309 L&I ID#
Washington MEDICAID 1093921 L&I ID#
Washington Other 141447000 L&I ID#
Washington Other HO8211 L&I ID#

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