Mozingo, Virginia

Mozingo, Virginia is an individual health care provider with primary practice located at 1114 Ridge Ave , New Cumberland WV 26047-9537. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mozingo, Virginia can be contacted via phone (304) 564-1098.

Contact Information

Primary practice address
1114 Ridge Ave New Cumberland WV 26047-9537
Phone: (304) 564-1098
Fax: (304) 564-5020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001539 West Virginia

Profile Details

NPI number 1366527715
LBN Legal business name Mozingo, Virginia
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Mar 27th, 2008 - 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 1366527715 NPPES
West Virginia Other 55071930000 WV WORKERS COMP BRICKSTRE
West Virginia Other 55071930003 WV WORKERS COMP BRICKSTRE
West Virginia MEDICAID 0014417000 WV WORKERS COMP BRICKSTRE

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