Clevenger, Judith Ann

Clevenger, Judith Ann is an sole proprietor health care provider with primary practice located at 102 Smithfield St , Buckhannon WV 26201-2620. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Clevenger, Judith Ann can be contacted via phone (304) 624-6554.

Contact Information

Primary practice address
102 Smithfield St Buckhannon WV 26201-2620
Phone: (304) 624-6554
Fax: (304) 624-5223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001092 West Virginia

Profile Details

NPI number 1831360353
LBN Legal business name Clevenger, Judith Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2008
Last updated Mar 13th, 2008 - about 17 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 1831360353 NPPES
West Virginia MEDICAID 0157144000

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