Jewell, Heather Reay
Jewell, Heather Reay is an individual health care provider with primary practice located at 101 Marcley Dr , Martinsburg WV 25401-2977. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jewell, Heather Reay can be contacted via phone (304) 263-8911.Contact Information
Primary practice address
101 Marcley Dr
Martinsburg WV 25401-2977
Phone: (304) 263-8911
Fax: (304) 263-8911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1366681652 |
|---|---|
| LBN Legal business name | Jewell, Heather Reay |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2009 |
| Last updated | Feb 11th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366681652 | NPPES |
| West Virginia | MEDICAID | 0055718000 | |
| West Virginia | Other | 9930421 | |
| West Virginia | Other | C10269 |
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