Mallow, Jedidiah Davidson

Mallow, Jedidiah Davidson is an individual health care provider with primary practice located at 34 N Kanawha St , Buckhannon WV 26201-2714. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Mallow, Jedidiah Davidson can be contacted via phone (304) 473-2250.

Contact Information

Primary practice address
34 N Kanawha St Buckhannon WV 26201-2714
Phone: (304) 473-2250
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1023717691
LBN Legal business name Mallow, Jedidiah Davidson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2023
Last updated Mar 2nd, 2023 - about 2 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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