Hadrych, Jerry I
Hadrych, Jerry I is an sole proprietor health care provider with primary practice located at 3280 University Ave Suite 3, Morgantown WV 26505-2266. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hadrych, Jerry I can be contacted via phone (304) 599-3338.Contact Information
Primary practice address
3280 University Ave Suite 3
Morgantown WV 26505-2266
Phone: (304) 599-3338
Fax: (304) 599-2623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 320 | West Virginia |
Profile Details
| NPI number | 1124010459 |
|---|---|
| LBN Legal business name | Hadrych, Jerry I |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Dec 22nd, 2020 - about 6 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 | 1124010459 | NPPES |
| Pennsylvania | MEDICAID | 01623405 | |
| Pennsylvania | Other | WV00320 | |
| Pennsylvania | MEDICAID | 0099983000 |
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