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Contact Information

JAY E ENDRES, MD
12 ELM ST
WARREN, PA16365
 Phone: 814-723-3520
 Fax: 814-726-2988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAY E ENDRES · (Male)

NPI # 1073581948
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2006
Last updated 02/03/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD039470L
  • PA Medicaid 001022675
  • PA Other 040600 HIGHMARK
  • PA Other 422220 HIGHMARK
Hospital affiliation(s)
  • CORRY MEMORIAL HOSPITAL - (Critical Access)
    965 SHAMROCK LANE
    CORRY, PA 16407
  • KANE COMMUNITY HOSPITAL - (Acute Care)
    4372 ROUTE 6
    KANE, PA 16735
  • WARREN GENERAL HOSPITAL - (Acute Care)
    TWO CRESCENT PARK WEST
    WARREN, PA 16365
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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