Jarrell, Patrick D.

Jarrell, Patrick D. is an sole proprietor health care provider with primary practice located at 213 W Maple Ave , Fayetteville WV 25840-1413. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jarrell, Patrick D. can be contacted via phone (304) 574-2833.

Contact Information

Primary practice address
213 W Maple Ave Fayetteville WV 25840-1413
Phone: (304) 574-2833
Fax: (304) 574-2489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3575 West Virginia

Profile Details

NPI number 1780713974
LBN Legal business name Jarrell, Patrick D.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Apr 24th, 2012 - about 14 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 1780713974 NPPES
West Virginia MEDICAID 4002219000
West Virginia Other 1580714

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