Paine, Ward Jackson
Paine, Ward Jackson is an sole proprietor health care provider with primary practice located at 1526 Mileground Rd , Morgantown WV 26505-3745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Paine, Ward Jackson can be contacted via phone (304) 777-4044.Contact Information
Primary practice address
1526 Mileground Rd
Morgantown WV 26505-3745
Phone: (304) 777-4044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20635 | West Virginia |
Profile Details
| NPI number | 1518918614 |
|---|---|
| LBN Legal business name | Paine, Ward Jackson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2006 |
| Last updated | Jun 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518918614 | NPPES |
| West Virginia | MEDICAID | 1841021000 |
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