Marsolan, Jay A

Marsolan, Jay A is an individual health care provider with primary practice located at 1509 W Loop 281 , Longview TX 75604-2820. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Marsolan, Jay A can be contacted via phone (903) 759-9355.

Contact Information

Primary practice address
1509 W Loop 281 Longview TX 75604-2820
Phone: (903) 759-9355
Fax: (903) 759-2606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 701468 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP120969 Texas

Profile Details

NPI number 1972883791
LBN Legal business name Marsolan, Jay A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2011
Last updated Aug 19th, 2015 - about 11 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 1972883791 NPPES
Texas MEDICAID 290394002

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