Dodson, Jeffrey A
Dodson, Jeffrey A is an individual health care provider with primary practice located at 120 Medical Park Dr Suite 200, Bridgeport WV 26330-9012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Dodson, Jeffrey A can be contacted via phone (304) 624-7200.Contact Information
Primary practice address
120 Medical Park Dr Suite 200
Bridgeport WV 26330-9012
Phone: (304) 624-7200
Fax: (304) 624-0026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 21906 | West Virginia |
Profile Details
| NPI number | 1649212903 |
|---|---|
| LBN Legal business name | Dodson, Jeffrey A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jan 23rd, 2015 - about 10 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 | 1649212903 | NPPES |
| West Virginia | MEDICAID | 3810004580 |
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