Mizes, James Scott

Mizes, James Scott is an sole proprietor health care provider with primary practice located at 235 High St Suite 608, Morgantown WV 26505-5429. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mizes, James Scott can be contacted via phone (304) 413-4728.

Contact Information

Primary practice address
235 High St Suite 608 Morgantown WV 26505-5429
Phone: (304) 413-4728
Fax: (304) 581-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 763 West Virginia

Profile Details

NPI number 1720051386
LBN Legal business name Mizes, James Scott
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Jun 4th, 2015 - about 10 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 1720051386 NPPES
West Virginia MEDICAID 9202017000

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