Johannigman, Jay A

Johannigman, Jay A is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-4504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Johannigman, Jay A can be contacted via phone (434) 924-3627.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-4504
Phone: (434) 924-3627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X S8193 Texas
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 0101269358 Virginia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35-057183 Ohio
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 35.057183 Ohio
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X M-16154 Idaho

Profile Details

NPI number 1548257405
LBN Legal business name Johannigman, Jay A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Aug 22nd, 2024 - about 2 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 1548257405 NPPES
Ohio MEDICAID 0705017
Ohio MEDICAID 0617236
Ohio MEDICAID 64860240

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