NPI 1982100699 · live from the CMS NPI Registry
Jay Alan Determan
Physician Assistant in Valley City, ND. National Provider Identifier 1982100699, active.
NPI record
| NPI | 1982100699 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 855 12th St Nw Apt 206, Valley City, ND 58072 |
| Practice phone | 605-830-0603 |
| Mailing address | 701 15th St Se Apt 311, Orange City, IA 51041 |
| Enumerated | April 2, 2018 |
| Last updated | March 25, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 0700 (SD) |
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.