Mayda, Jaro
Mayda, Jaro is an individual health care provider with primary practice located at 3611 S Reed Rd 105, Kokomo IN 46902-3806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mayda, Jaro can be contacted via phone (765) 453-8504.Contact Information
Primary practice address
3611 S Reed Rd 105
Kokomo IN 46902-3806
Phone: (765) 453-8504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 01052526A | Indiana |
Profile Details
| NPI number | 1326104993 |
|---|---|
| LBN Legal business name | Mayda, Jaro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | May 18th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326104993 | NPPES |
| Indiana | MEDICAID | 200272550 | |
| Indiana | Other | P00144115 | |
| Indiana | Other | 000000331005 |
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