Yeargan, Charles B

Yeargan, Charles B is an individual health care provider with primary practice located at 129 Main St Rm. 608, Beckley WV 25801-4615. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Yeargan, Charles B can be contacted via phone (304) 255-0900.

Contact Information

Primary practice address
129 Main St Rm. 608 Beckley WV 25801-4615
Phone: (304) 255-0900
Fax: (304) 255-0900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 166 West Virginia

Profile Details

NPI number 1477631943
LBN Legal business name Yeargan, Charles B
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1477631943 NPPES
West Virginia MEDICAID 0165176000

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