Shreves, Jennifer

Shreves, Jennifer is an individual health care provider with primary practice located at 140 Middletown Loop , Fairmont WV 26554-8701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Shreves, Jennifer can be contacted via phone (304) 333-1150.

Contact Information

Primary practice address
140 Middletown Loop Fairmont WV 26554-8701
Fax: (304) 333-1169
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17953 West Virginia

Profile Details

NPI number 1356451702
LBN Legal business name Shreves, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 17th, 2024 - about 2 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 1356451702 NPPES
West Virginia MEDICAID 0046512000

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