Lonsway, Jay M

Lonsway, Jay M is an individual health care provider with primary practice located at 1414 W Fair Ave Suite 250, Marquette MI 49855-2675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lonsway, Jay M can be contacted via phone (906) 225-7780.

Contact Information

Primary practice address
1414 W Fair Ave Suite 250 Marquette MI 49855-2675
Phone: (906) 225-7780
Fax: (906) 225-4893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 5101013608 Michigan

Profile Details

NPI number 1770593741
LBN Legal business name Lonsway, Jay M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 30th, 2014 - about 12 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 1770593741 NPPES
Michigan MEDICAID 4506153
Michigan MEDICAID 4506114
Michigan MEDICAID 4506171

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