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
Fax: (304) 865-2214
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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