Thomas, Staci Jones

Thomas, Staci Jones is an individual health care provider with primary practice located at 608 Cheat Rd , Morgantown WV 26508-4210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Thomas, Staci Jones can be contacted via phone (304) 594-1313.

Contact Information

Primary practice address
608 Cheat Rd Morgantown WV 26508-4210
Phone: (304) 594-1313
Fax: (304) 594-2408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20750 West Virginia

Profile Details

NPI number 1104841527
LBN Legal business name Thomas, Staci Jones
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104841527 NPPES
West Virginia MEDICAID 1808409000
West Virginia MEDICAID 404274300
West Virginia MEDICAID 1012400040001

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