Roush, Jeremy

Roush, Jeremy is an individual health care provider with primary practice located at 333 Foundry St , New Martinsville WV 26155-1142. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Roush, Jeremy can be contacted via phone (304) 455-2441.

Contact Information

Primary practice address
333 Foundry St New Martinsville WV 26155-1142
Phone: (304) 455-2441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 98704712 West Virginia

Profile Details

NPI number 1811268220
LBN Legal business name Roush, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2012
Last updated Jan 17th, 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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