Mcderment, Gary Lee

Mcderment, Gary Lee is an sole proprietor health care provider with primary practice located at 802 Oak St , Kenova WV 25530-1519. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Mcderment, Gary Lee can be contacted via phone (304) 908-1056.

Contact Information

Primary practice address
802 Oak St Kenova WV 25530-1519
Phone: (304) 908-1056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 23-9188 West Virginia

Profile Details

NPI number 1477331163
LBN Legal business name Mcderment, Gary Lee
Credentials PRSS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2023
Last updated Feb 21st, 2024 - about last year

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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