Hedrick, Dennis Wayne

Hedrick, Dennis Wayne is an individual health care provider with primary practice located at 806 Greenbrier St , Charleston WV 25311-1527. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Hedrick, Dennis Wayne can be contacted via phone (304) 342-5900.

Contact Information

Primary practice address
806 Greenbrier St Charleston WV 25311-1527
Fax: (304) 342-6257
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 870-OD West Virginia

Profile Details

NPI number 1871580548
LBN Legal business name Hedrick, Dennis Wayne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Mar 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871580548 NPPES
West Virginia MEDICAID 0149490000

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