Kodrich, Michael A
Kodrich, Michael A is an sole proprietor health care provider with primary practice located at 3501 Emerson Ave Suite 2-B, Parkersburg WV 26104-1849. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kodrich, Michael A can be contacted via phone (304) 420-0940.Contact Information
Primary practice address
3501 Emerson Ave Suite 2-B
Parkersburg WV 26104-1849
Phone: (304) 420-0940
Fax: (304) 865-2214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1197 | West Virginia |
Profile Details
| NPI number | 1134131329 |
|---|---|
| LBN Legal business name | Kodrich, Michael A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134131329 | NPPES |
| West Virginia | Other | Y288393 | HEALTH PLAN PIN NUMBER |
| West Virginia | Other | 096167 | HEALTH PLAN PIN NUMBER |
| West Virginia | Other | 180073 | HEALTH PLAN PIN NUMBER |
| West Virginia | Other | 2031476 | HEALTH PLAN PIN NUMBER |
| West Virginia | Other | 000000234570 | HEALTH PLAN PIN NUMBER |
| West Virginia | Other | 7227387 | HEALTH PLAN PIN NUMBER |
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