Priddy, Jeff

Priddy, Jeff is an individual health care provider with primary practice located at 511 Morris St , Charleston WV 25301-1326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Priddy, Jeff can be contacted via phone (304) 341-0511.

Contact Information

Primary practice address
511 Morris St Charleston WV 25301-1326
Phone: (304) 341-0511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 15311 West Virginia

Profile Details

NPI number 1174537831
LBN Legal business name Priddy, Jeff
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 13th, 2012 - about 13 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 1174537831 NPPES
West Virginia MEDICAID 0005355002
West Virginia MEDICAID 0114835000
West Virginia MEDICAID 3810012081

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