Pcholinsky, Jerry

Pcholinsky, Jerry is an individual health care provider with primary practice located at 69 Avenue B , Madison WV 25130-1162. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Pcholinsky, Jerry can be contacted via phone (304) 369-3131.

Contact Information

Primary practice address
69 Avenue B Madison WV 25130-1162
Phone: (304) 369-3131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3279 West Virginia

Profile Details

NPI number 1710122569
LBN Legal business name Pcholinsky, Jerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2008
Last updated Dec 9th, 2008 - about 17 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 1710122569 NPPES
West Virginia MEDICAID 7404007000

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