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
Phone: (304) 776-5031
Fax: (304) 204-6332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 002137 | West Virginia |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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