Van Horn, Cheryl Colleen
Van Horn, Cheryl Colleen is an individual health care provider with primary practice located at 717 Fairmont Ave , Fairmont WV 26554-5135. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Van Horn, Cheryl Colleen can be contacted via phone (304) 366-3830.Contact Information
Primary practice address
717 Fairmont Ave
Fairmont WV 26554-5135
Phone: (304) 366-3830
Fax: (304) 366-8049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 853-OD | West Virginia |
Profile Details
| NPI number | 1649355520 |
|---|---|
| LBN Legal business name | Van Horn, Cheryl Colleen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Aug 14th, 2014 - about 11 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 | 1649355520 | NPPES |
| West Virginia | MEDICAID | 0149347000 | |
| West Virginia | Other | 9927631 | |
| West Virginia | Other | 001719073 | |
| West Virginia | Other | 0867551 |
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