Clay, Bruce E
Clay, Bruce E is an sole proprietor health care provider with primary practice located at 1401 Hospital Dr Ste# 106, Hurricane WV 25526-9237. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Clay, Bruce E can be contacted via phone (304) 757-8650.Contact Information
Primary practice address
1401 Hospital Dr Ste# 106
Hurricane WV 25526-9237
Phone: (304) 757-8650
Fax: (304) 757-0633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 384 | West Virginia |
Profile Details
| NPI number | 1851479885 |
|---|---|
| LBN Legal business name | Clay, Bruce E |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| 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 | 1851479885 | NPPES |
| West Virginia | MEDICAID | 0164604000 |
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