Soule, Jeremy B

Soule, Jeremy B is an individual health care provider with primary practice located at 16 Sterling Dr Suite 102, Bridgeport WV 26330-9132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Soule, Jeremy B can be contacted via phone (304) 326-2320.

Contact Information

Primary practice address
16 Sterling Dr Suite 102 Bridgeport WV 26330-9132
Phone: (304) 326-2320
Fax: (304) 326-2323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 20980 South Carolina
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 19264 West Virginia

Profile Details

NPI number 1467560326
LBN Legal business name Soule, Jeremy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Apr 6th, 2022 - about 2 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 1467560326 NPPES
South Carolina MEDICAID 209802

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