Eastwood, Jody Ryan

Eastwood, Jody Ryan is an individual health care provider with primary practice located at 100 Peyton Way Suite 201, Charleston WV 25309-8572. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Eastwood, Jody Ryan can be contacted via phone (304) 720-2005.

Contact Information

Primary practice address
100 Peyton Way Suite 201 Charleston WV 25309-8572
Fax: (304) 720-2009
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 844 West Virginia

Profile Details

NPI number 1295839389
LBN Legal business name Eastwood, Jody Ryan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Feb 6th, 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 1295839389 NPPES
West Virginia Other 001813057 BLUE CROSS BLUE SHIELD WV

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