Woolwine, Andrew Joseph
Woolwine, Andrew Joseph is an sole proprietor health care provider with primary practice located at 1201 N 15Th St , Clarksburg WV 26301-1989. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Woolwine, Andrew Joseph can be contacted via phone (304) 624-6554.Contact Information
Primary practice address
1201 N 15Th St
Clarksburg WV 26301-1989
Phone: (304) 624-6554
Fax: (304) 624-5223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 9869 | West Virginia |
Profile Details
| NPI number | 1316222011 |
|---|---|
| LBN Legal business name | Woolwine, Andrew Joseph |
| Credentials | EDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2011 |
| Last updated | Nov 9th, 2011 - about 14 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 | 1316222011 | NPPES |
| West Virginia | MEDICAID | 3810021612 |
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