Santangelo, Jaclyn A
Santangelo, Jaclyn A is an individual health care provider with primary practice located at 3705 Teays Valley Rd Suite 100, Hurricane WV 25526-9645. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Santangelo, Jaclyn A can be contacted via phone (304) 757-2500.Contact Information
Primary practice address
3705 Teays Valley Rd Suite 100
Hurricane WV 25526-9645
Phone: (304) 757-2500
Fax: (304) 757-2586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | WV001014 | West Virginia |
Profile Details
| NPI number | 1205998986 |
|---|---|
| LBN Legal business name | Santangelo, Jaclyn A |
| Credentials | MOT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1205998986 | NPPES |
| West Virginia | Other | 1714909 | BLUE CROSS BLUE SHIELD |
| West Virginia | Other | 7104487 | BLUE CROSS BLUE SHIELD |
| West Virginia | Other | 1062861 | BLUE CROSS BLUE SHIELD |
| West Virginia | MEDICAID | 7503100-000 | BLUE CROSS BLUE SHIELD |
| West Virginia | Other | 311504453 | BLUE CROSS BLUE SHIELD |
| West Virginia | Other | 311504453 | BLUE CROSS BLUE SHIELD |
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