Fearon-Jewell, Marie B

Fearon-Jewell, Marie B is an individual health care provider with primary practice located at 200 Health Center Drive , Union WV 24983. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fearon-Jewell, Marie B can be contacted via phone (304) 772-3064.

Contact Information

Primary practice address
200 Health Center Drive Union WV 24983
Phone: (304) 772-3064
Fax: (304) 772-5671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102201186 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1749 West Virginia

Profile Details

NPI number 1134108210
LBN Legal business name Fearon-Jewell, Marie B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Feb 27th, 2013 - about 13 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 1134108210 NPPES
West Virginia Other P00466094 RAILROAD PTAN
West Virginia Other 001717979 RAILROAD PTAN
West Virginia Other 345878 RAILROAD PTAN
West Virginia MEDICAID 010038251 RAILROAD PTAN

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