Hadrych, Jerry I

Hadrych, Jerry I is an sole proprietor health care provider with primary practice located at 3280 University Ave Suite 3, Morgantown WV 26505-2266. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hadrych, Jerry I can be contacted via phone (304) 599-3338.

Contact Information

Primary practice address
3280 University Ave Suite 3 Morgantown WV 26505-2266
Fax: (304) 599-2623
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 320 West Virginia

Profile Details

NPI number 1124010459
LBN Legal business name Hadrych, Jerry I
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Dec 22nd, 2020 - about 4 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 1124010459 NPPES
Pennsylvania MEDICAID 01623405
Pennsylvania Other WV00320
Pennsylvania MEDICAID 0099983000

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