Church, Sherry
Church, Sherry is an individual health care provider with primary practice located at 306 Main St , Logan WV 25601-3906. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Church, Sherry can be contacted via phone (304) 752-7707.Contact Information
Primary practice address
306 Main St
Logan WV 25601-3906
Phone: (304) 752-7707
Fax: (304) 752-0772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 493 | West Virginia |
Profile Details
| NPI number | 1851441778 |
|---|---|
| LBN Legal business name | Church, Sherry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1851441778 | NPPES |
| West Virginia | MEDICAID | 0165516000 |
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