Jones, Eric Crayton

Jones, Eric Crayton is an individual health care provider with primary practice located at 4607 Maccorkle Ave Ste 400, South Charleston WV 25309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jones, Eric Crayton can be contacted via phone (304) 766-4400.

Contact Information

Primary practice address
4607 Maccorkle Ave Ste 400 South Charleston WV 25309
Phone: (304) 766-4400
Fax: (304) 766-4417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21915 West Virginia

Profile Details

NPI number 1720173784
LBN Legal business name Jones, Eric Crayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 24th, 2011 - about 15 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 1720173784 NPPES
West Virginia MEDICAID 3810002420
West Virginia MEDICAID 4005199000

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