Longenecker, Jo Ann
Longenecker, Jo Ann is an individual health care provider with primary practice located at 2673 Davisson Run Rd Ste 101 , Clarksburg WV 26301-6838. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Longenecker, Jo Ann can be contacted via phone (681) 342-3470.Contact Information
Primary practice address
2673 Davisson Run Rd Ste 101
Clarksburg WV 26301-6838
Phone: (681) 342-3470
Fax: (304) 622-6109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15551 | West Virginia |
Profile Details
| NPI number | 1548359193 |
|---|---|
| LBN Legal business name | Longenecker, Jo Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Apr 6th, 2022 - about 4 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 | 1548359193 | NPPES |
| West Virginia | MEDICAID | 0041652000 |
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