Atkinson, John Russell
Atkinson, John Russell is an sole proprietor health care provider with primary practice located at 1007 38Th St , Vienna WV 26105-2741. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Atkinson, John Russell can be contacted via phone (304) 295-9243.Contact Information
Primary practice address
1007 38Th St
Vienna WV 26105-2741
Phone: (304) 295-9243
Fax: (304) 428-4500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 309 | West Virginia |
Profile Details
| NPI number | 1104003524 |
|---|---|
| LBN Legal business name | Atkinson, John Russell |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2008 |
| Last updated | Jan 28th, 2008 - about 17 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 | 1104003524 | NPPES |
| West Virginia | MEDICAID | 0165376000 |
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