Jeffries, Rachele N

Jeffries, Rachele N is an individual health care provider with primary practice located at 503 Roosevelt Blvd , Eleanor WV 25070-0503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jeffries, Rachele N can be contacted via phone (304) 586-0001.

Contact Information

Primary practice address
503 Roosevelt Blvd Eleanor WV 25070-0503
Phone: (304) 586-0001
Fax: (304) 586-1301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2235 West Virginia

Profile Details

NPI number 1508145517
LBN Legal business name Jeffries, Rachele N
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2011
Last updated Aug 2nd, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508145517 NPPES
West Virginia MEDICAID 1508145517
West Virginia MEDICAID 3810020849

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