Mikeo, Gregory Jerome

Mikeo, Gregory Jerome is an sole proprietor health care provider with primary practice located at 408 E B Saunders Way , Clarksburg WV 26301-3712. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Mikeo, Gregory Jerome can be contacted via phone (304) 624-6554.

Contact Information

Primary practice address
408 E B Saunders Way Clarksburg WV 26301-3712
Fax: (304) 624-5223
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X West Virginia

Profile Details

NPI number 1013186451
LBN Legal business name Mikeo, Gregory Jerome
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2008
Last updated Feb 28th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013186451 NPPES
West Virginia MEDICAID 1000220000

Popular Providers