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Contact Information

JAY D LINCOLN
100 MAIN STREET
APT 202
PAGO PAGO, AS96799-5666
 Phone: 684-699-6380
 Fax: 684-699-6374
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAY D LINCOLN · (Male)

NPI # 1609361641
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2018
Last updated 02/25/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AS License # 4105C
Hospital affiliation(s) Not Available
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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