Magen, Jed Gary

Magen, Jed Gary is an individual health care provider with primary practice located at 909 Fee Rd Room B119 Michigan State University Department Of Psychiatry, East Lansing MI 48824-3603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Magen, Jed Gary can be contacted via phone (517) 353-3070.

Contact Information

Primary practice address
909 Fee Rd Room B119 Michigan State University Department Of Psychiatry East Lansing MI 48824-3603
Phone: (517) 353-3070
Fax: (517) 432-3603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5101007621 Michigan
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 5101007621 Michigan

Profile Details

NPI number 1619951936
LBN Legal business name Magen, Jed Gary
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 12th, 2012 - about 14 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 1619951936 NPPES
Michigan MEDICAID 1619951936
Michigan MEDICAID 2574234

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