Cline, Sidney Jerome
Cline, Sidney Jerome is an individual health care provider with primary practice located at 122 Nick Savas Dr , Logan WV 25601-3468. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Cline, Sidney Jerome can be contacted via phone (304) 752-8081.Contact Information
Primary practice address
122 Nick Savas Dr
Logan WV 25601-3468
Phone: (304) 752-8081
Fax: (304) 752-8083
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN75819NP | West Virginia |
Profile Details
NPI number | 1255748166 |
---|---|
LBN Legal business name | Cline, Sidney Jerome |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2014 |
Last updated | Jul 2nd, 2021 - about 3 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 | 1255748166 | NPPES |
West Virginia | Other | APRN75819NP | STATE LICENSE |
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