Jain, Samay
Jain, Samay is an individual health care provider with primary practice located at 450 S Kitsap Blvd Ste 210 , Port Orchard WA 98366-3738. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Jain, Samay can be contacted via phone (360) 895-8950.Contact Information
Primary practice address
450 S Kitsap Blvd Ste 210
Port Orchard WA 98366-3738
Phone: (360) 895-8950
Fax: (360) 830-1385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60771954 | Washington |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35099644 | Ohio |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD60771954 | Washington |
Profile Details
| NPI number | 1679505515 |
|---|---|
| LBN Legal business name | Jain, Samay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Dec 4th, 2020 - about 6 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 | 1679505515 | NPPES |
| Ohio | MEDICAID | 0075568 | |
| Ohio | MEDICAID | 2092193 | |
| Ohio | Other | 99644 |
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