Gregan, Jennifer L

Gregan, Jennifer L is an individual health care provider with primary practice located at 718 Bigley Avenue , Charleston WV 25302. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gregan, Jennifer L can be contacted via phone (304) 746-2918.

Contact Information

Primary practice address
718 Bigley Avenue Charleston WV 25302
Phone: (304) 746-2918
Fax: (304) 746-2919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1083064695 West Virginia

Profile Details

NPI number 1780136556
LBN Legal business name Gregan, Jennifer L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2016
Last updated Oct 27th, 2016 - about 10 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 1780136556 NPPES
West Virginia MEDICAID 9435000000
West Virginia MEDICAID 9435000001

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