Kennedy, Jay Michael

Kennedy, Jay Michael is an sole proprietor health care provider with primary practice located at 808 Diamond St , Berlin PA 15530-1539. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kennedy, Jay Michael can be contacted via phone (814) 267-5830.

Contact Information

Primary practice address
808 Diamond St Berlin PA 15530-1539
Phone: (814) 267-5830
Fax: (814) 267-6103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC003949L Pennsylvania

Profile Details

NPI number 1821076043
LBN Legal business name Kennedy, Jay Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2006
Last updated Feb 13th, 2008 - about 18 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 1821076043 NPPES
Pennsylvania Other 216978 UPMC
Pennsylvania MEDICAID 93492 UPMC
Pennsylvania Other 2058294 UPMC
Pennsylvania MEDICAID 01162738 UPMC
Pennsylvania MEDICAID 1508429 UPMC
Pennsylvania Other 4281751 UPMC
Pennsylvania Other BA1489298 UPMC
Pennsylvania Other KE469395 UPMC

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