Carpenter, Jeremy David

Carpenter, Jeremy David is an sole proprietor health care provider with primary practice located at 601 Avery St Ste 501 , Parkersburg WV 26101-5192. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Carpenter, Jeremy David can be contacted via phone (304) 422-3904.

Contact Information

Primary practice address
601 Avery St Ste 501 Parkersburg WV 26101-5192
Phone: (304) 422-3904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP009322 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA.12311-NA Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 57744 West Virginia

Profile Details

NPI number 1235356064
LBN Legal business name Carpenter, Jeremy David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Aug 24th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235356064 NPPES
West Virginia MEDICAID 3810019342
West Virginia MEDICAID 3136529

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