Herrick, Jeffrey P.

Herrick, Jeffrey P. is an individual health care provider with primary practice located at 35 S Main St , Petersburg WV 26847-1727. 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. Herrick, Jeffrey P. can be contacted via phone (304) 257-2606.

Contact Information

Primary practice address
35 S Main St Petersburg WV 26847-1727
Phone: (304) 257-2606
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 000746 West Virginia

Profile Details

NPI number 1184747461
LBN Legal business name Herrick, Jeffrey P.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jul 8th, 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 1184747461 NPPES
West Virginia MEDICAID 9420169000

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