Runnion, John Timothy

Runnion, John Timothy is an individual health care provider with primary practice located at 645 Kanawha Ave , Rainelle WV 25962-1013. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Runnion, John Timothy can be contacted via phone (304) 438-6188.

Contact Information

Primary practice address
645 Kanawha Ave Rainelle WV 25962-1013
Phone: (304) 438-6188
Fax: (304) 438-6819
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 909 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 249 West Virginia

Profile Details

NPI number 1467632505
LBN Legal business name Runnion, John Timothy
Credentials PA.C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Aug 27th, 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 1467632505 NPPES
West Virginia MEDICAID 3810018844

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