Lavigne, Jay Wayne

Lavigne, Jay Wayne is an individual health care provider with primary practice located at 277 White St Ne , Abingdon VA 24210-2913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lavigne, Jay Wayne can be contacted via phone (276) 628-4335.

Contact Information

Primary practice address
277 White St Ne Abingdon VA 24210-2913
Phone: (276) 628-4335
Fax: (276) 628-3195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101043601 Virginia

Profile Details

NPI number 1073509568
LBN Legal business name Lavigne, Jay Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Feb 15th, 2017 - about 9 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 1073509568 NPPES
Virginia MEDICAID 010380855
Virginia MEDICAID 1073509568
Virginia MEDICAID Q023274

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