Carpenter, Jeremy
Carpenter, Jeremy is an sole proprietor health care provider with primary practice located at 3200 Maccorkle Ave Se , Charleston WV 25304-1227. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Carpenter, Jeremy can be contacted via phone (304) 388-5432.Contact Information
Primary practice address
3200 Maccorkle Ave Se
Charleston WV 25304-1227
Phone: (304) 388-5432
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | SP009322 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 57744 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | COA.12311-NA | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APRN.CRNA.12311 | Ohio |
Profile Details
| NPI number | 1235356064 |
|---|---|
| LBN Legal business name | Carpenter, Jeremy |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Jun 23rd, 2025 - about last year |
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 | 1235356064 | NPPES |
| West Virginia | MEDICAID | 3810019342 | |
| West Virginia | MEDICAID | 3136529 |
Popular Providers
-
Orphanos, Megan Lee
3200 Maccorkle Ave Se , Charleston WV 25304-1227 -
Daniel, Bethany
644 Gordon Dr , Charleston WV 25314-1762 -
Mcclellan, Jerry Lee
501 Morris St , Charleston WV 25301-1326 -
Painter, Nicholas Belcastro
3200 Maccorkle Ave Se , Charleston WV 25304-1227 -
Dalton, Sherry Lynn
800 Pennsylvania Ave , Charleston WV 25302-3351 -
Bostic, Loretta Ann
661 Lick Branch Rd , Charleston WV 25312-6761 -
Barnette, Jeffrey Todd
3200 Maccorkle Ave Se , Charleston WV 25304-1227 -
Groves, Eric Christopher
501 Morris St , Charleston WV 25301-1326