Joseph, Jay Samuel

Joseph, Jay Samuel is an individual health care provider with primary practice located at 1165 S Dora St Bldg H , Ukiah CA 95482-8325. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Joseph, Jay Samuel can be contacted via phone (707) 463-3636.

Contact Information

Primary practice address
1165 S Dora St Bldg H Ukiah CA 95482-8325
Phone: (707) 463-3636
Fax: (707) 463-2714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X G74799 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G74799 California

Profile Details

NPI number 1396835153
LBN Legal business name Joseph, Jay Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Nov 3rd, 2021 - about 5 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 1396835153 NPPES
California MEDICAID 00G747990

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