Cunningham, Jan Howard
Cunningham, Jan Howard is an sole proprietor health care provider with primary practice located at 830 Pennsylvania Ave Suite 405, Charleston WV 25302-3302. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cunningham, Jan Howard can be contacted via phone (304) 345-4770.Contact Information
Primary practice address
830 Pennsylvania Ave Suite 405
Charleston WV 25302-3302
Phone: (304) 345-4770
Fax: (304) 345-4774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 09984 | West Virginia |
Profile Details
| NPI number | 1265501191 |
|---|---|
| LBN Legal business name | Cunningham, Jan Howard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1265501191 | NPPES |
| West Virginia | MEDICAID | 0093478000 |
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