Dexter, Tricia L.

Dexter, Tricia L. is an individual health care provider with primary practice located at 313 Maccorkle Ave Sw , Charleston WV 25303-1263. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dexter, Tricia L. can be contacted via phone (304) 744-2300.

Contact Information

Primary practice address
313 Maccorkle Ave Sw Charleston WV 25303-1263
Phone: (304) 744-2300
Fax: (304) 744-5891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001259 West Virginia

Profile Details

NPI number 1942229711
LBN Legal business name Dexter, Tricia L.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 30th, 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 1942229711 NPPES
Other 000000217253 ANTHEM BCBS
Other 2229510 ANTHEM BCBS
MEDICAID 0157212000 ANTHEM BCBS
Other 1942229711 ANTHEM BCBS

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