Briscoe, David A

Briscoe, David A is an individual health care provider with primary practice located at 314 Goff Mountain Rd Suite 13, Cross Lanes WV 25313-6602. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Briscoe, David A can be contacted via phone (304) 776-5031.

Contact Information

Primary practice address
314 Goff Mountain Rd Suite 13 Cross Lanes WV 25313-6602
Fax: (304) 204-6332
Website:

Health care specialties

Profile Details

NPI number 1033213699
LBN Legal business name Briscoe, David A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033213699 NPPES
West Virginia Other 001721594 MOUNTIAN STATE BC/BS
West Virginia MEDICAID 7301063000 MOUNTIAN STATE BC/BS

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