Mcdaniel, Roger

Mcdaniel, Roger is an individual health care provider with primary practice located at 1 Medical Center Dr. , Clarksburg WV 26301. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Mcdaniel, Roger can be contacted via phone (304) 623-3461.

Contact Information

Primary practice address
1 Medical Center Dr. Clarksburg WV 26301
Phone: (304) 623-3461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 114667 West Virginia

Profile Details

NPI number 1821702697
LBN Legal business name Mcdaniel, Roger
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2023
Last updated Jan 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821702697 NPPES
West Virginia Other 114677 LICENSE NUMBER

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