Addison, Jeffery F

Addison, Jeffery F is an individual health care provider with primary practice located at 331 Laidley St Ste 307 , Charleston WV 25301-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Addison, Jeffery F can be contacted via phone (304) 208-1414.

Contact Information

Primary practice address
331 Laidley St Ste 307 Charleston WV 25301-1605
Fax: (304) 344-2108
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 15775 West Virginia

Profile Details

NPI number 1972548618
LBN Legal business name Addison, Jeffery F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated May 26th, 2010 - about 14 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 1972548618 NPPES
Other 2496080 OHIO JOB & FAMILY SERVICES
Other 614835100 OHIO JOB & FAMILY SERVICES
MEDICAID 3810000347 OHIO JOB & FAMILY SERVICES
Other 197254861 OHIO JOB & FAMILY SERVICES
Other 271503047 OHIO JOB & FAMILY SERVICES
Other 6608290 OHIO JOB & FAMILY SERVICES
Other 1972548618 OHIO JOB & FAMILY SERVICES
Other 10010042 OHIO JOB & FAMILY SERVICES
MEDICAID 2496080 OHIO JOB & FAMILY SERVICES
Other 271503047 OHIO JOB & FAMILY SERVICES

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