Damm, John Edward
Damm, John Edward is an sole proprietor health care provider with primary practice located at 1 Medical Center Drive , Clarksburg WV 26301. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Damm, John Edward can be contacted via phone (304) 904-6953.Contact Information
Primary practice address
1 Medical Center Drive
Clarksburg WV 26301
Phone: (304) 904-6953
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 506 | West Virginia |
Profile Details
| NPI number | 1912900457 |
|---|---|
| LBN Legal business name | Damm, John Edward |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2005 |
| Last updated | Sep 30th, 2012 - about 12 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 | 1912900457 | NPPES |
| West Virginia | MEDICAID | 0163631000 |
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