Rodeheaver, Debra L

Rodeheaver, Debra L is an individual health care provider with primary practice located at 1 Medical Center Drive , Morgantown WV 26506. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Rodeheaver, Debra L can be contacted via phone (304) 598-4118.

Contact Information

Primary practice address
1 Medical Center Drive Morgantown WV 26506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0892 West Virginia

Profile Details

NPI number 1710057773
LBN Legal business name Rodeheaver, Debra L
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1710057773 NPPES
West Virginia MEDICAID 3810003256

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