Canterbury, Jason Edward

Canterbury, Jason Edward is an individual health care provider with primary practice located at 2333 Maccorkle Ave Ste 201 , Saint Albans WV 25177-2074. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Canterbury, Jason Edward can be contacted via phone (304) 766-0060.

Contact Information

Primary practice address
2333 Maccorkle Ave Ste 201 Saint Albans WV 25177-2074
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 23-9219 West Virginia

Profile Details

NPI number 1104692409
LBN Legal business name Canterbury, Jason Edward
Credentials PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2023
Last updated Nov 28th, 2023 - about 2 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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