Asbury, Jody
Asbury, Jody is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se , Charleston WV 25304-1227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Asbury, Jody can be contacted via phone (304) 388-3974.Contact Information
Primary practice address
3200 Maccorkle Ave Se
Charleston WV 25304-1227
Phone: (304) 388-3974
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1159 | West Virginia |
Profile Details
| NPI number | 1295711687 |
|---|---|
| LBN Legal business name | Asbury, Jody |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Feb 6th, 2017 - about 9 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 | 1295711687 | NPPES |
| West Virginia | Other | 001780504 | WV BCBS |
| West Virginia | Other | 1069209 | WV BCBS |
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