Jay, Colleen L

Jay, Colleen L is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is her primary health care specialty. Jay, Colleen L can be contacted via phone (210) 358-4000.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229-4402
Phone: (210) 358-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036120467 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 55659 Minnesota
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X Q2307 Texas

Profile Details

NPI number 1275700288
LBN Legal business name Jay, Colleen L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2008
Last updated May 13th, 2015 - about 11 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 1275700288 NPPES
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID 344007501
Minnesota MEDICAID ENROLLED

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