Boggess, Jeffrey T

Boggess, Jeffrey T is an individual health care provider with primary practice located at 1115 20Th Street Suite 205, Huntington WV 25703. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Boggess, Jeffrey T can be contacted via phone (304) 691-1500.

Contact Information

Primary practice address
1115 20Th Street Suite 205 Huntington WV 25703
Phone: (304) 691-1500
Fax: (304) 691-1510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 544 West Virginia

Profile Details

NPI number 1790717940
LBN Legal business name Boggess, Jeffrey T
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 18th, 2013 - about 13 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 1790717940 NPPES
West Virginia MEDICAID 0163845000
West Virginia Other 544

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