Kitzmiller, Clinton Roger

Kitzmiller, Clinton Roger is an sole proprietor health care provider with primary practice located at 1000 Technology Dr , Fairmont WV 26554-8824. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Kitzmiller, Clinton Roger can be contacted via phone (304) 292-2108.

Contact Information

Primary practice address
1000 Technology Dr Fairmont WV 26554-8824
Phone: (304) 292-2108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1558965889
LBN Legal business name Kitzmiller, Clinton Roger
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2020
Last updated Nov 27th, 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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