Earley, William Jeffrey

Earley, William Jeffrey is an individual health care provider with primary practice located at 800 Grand Central Mall Ste 11 , Vienna WV 26105-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Earley, William Jeffrey can be contacted via phone (304) 916-1270.

Contact Information

Primary practice address
800 Grand Central Mall Ste 11 Vienna WV 26105-4100
Phone: (304) 916-1270
Fax: (304) 916-1705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 340040000 Ohio

Profile Details

NPI number 1770595043
LBN Legal business name Earley, William Jeffrey
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Dec 20th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770595043 NPPES
Ohio MEDICAID 0620331
Ohio Other P00314908

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