Desaulniers, Joseph R.

Desaulniers, Joseph R. is an individual health care provider with primary practice located at Rr 2 Box 169-G Grayrock Professional Park, Lewisburg WV 24901-9316. 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. Desaulniers, Joseph R. can be contacted via phone (304) 645-1706.

Contact Information

Primary practice address
Rr 2 Box 169-G Grayrock Professional Park Lewisburg WV 24901-9316
Phone: (304) 645-1706
Fax: (304) 645-4085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 000766 West Virginia

Profile Details

NPI number 1609924059
LBN Legal business name Desaulniers, Joseph R.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 9th, 2007 - about 18 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 1609924059 NPPES
West Virginia MEDICAID 3810006155

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