Tierney, James P.

Tierney, James P. is an individual health care provider with primary practice located at 11 Courtney Drive , Charleston WV 25304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Tierney, James P. can be contacted via phone (304) 925-8521.

Contact Information

Primary practice address
11 Courtney Drive Charleston WV 25304
Phone: (304) 925-8521
Fax: (304) 925-8523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 775 West Virginia

Profile Details

NPI number 1205920261
LBN Legal business name Tierney, James P.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 31st, 2017 - about 7 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 1205920261 NPPES
West Virginia MEDICAID 0129896000

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