Mcdaniel, Gary W
Mcdaniel, Gary W is an individual health care provider with primary practice located at 235 S Water St , Martinsburg WV 25401-4241. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Mcdaniel, Gary W can be contacted via phone (304) 263-8954.Contact Information
Primary practice address
235 S Water St
Martinsburg WV 25401-4241
Phone: (304) 263-8954
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | DP00939619 | West Virginia |
Profile Details
| NPI number | 1639367485 |
|---|---|
| LBN Legal business name | Mcdaniel, Gary W |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2007 |
| Last updated | Oct 5th, 2007 - about 17 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 | 1639367485 | NPPES |
| West Virginia | MEDICAID | 0023817001 |
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