Roman, Corey Paul
Roman, Corey Paul is an individual health care provider with primary practice located at 2101 Jacob St , Wheeling WV 26003-3800. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Roman, Corey Paul can be contacted via phone (304) 234-8517.Contact Information
Primary practice address
2101 Jacob St
Wheeling WV 26003-3800
Phone: (304) 234-8517
Fax: (304) 234-8745
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 212 | West Virginia |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 212 | West Virginia |
Profile Details
NPI number | 1376650374 |
---|---|
LBN Legal business name | Roman, Corey Paul |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2006 |
Last updated | Jul 21st, 2022 - about 3 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 | 1376650374 | NPPES |
Ohio | MEDICAID | 2585653 | |
Ohio | MEDICAID | 0165104000 |
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