Hanshaw, Jacob Lee

Hanshaw, Jacob Lee is an sole proprietor health care provider with primary practice located at 4216 Maccorkle Ave Se Ste 4 , Charleston WV 25304-2539. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Hanshaw, Jacob Lee can be contacted via phone (304) 926-0913.

Contact Information

Primary practice address
4216 Maccorkle Ave Se Ste 4 Charleston WV 25304-2539
Phone: (304) 926-0913
Fax: (304) 926-0914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT004694 West Virginia

Profile Details

NPI number 1871144071
LBN Legal business name Hanshaw, Jacob Lee
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2019
Last updated Feb 1st, 2024 - about last year

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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