Struckman, Joni M

Struckman, Joni M is an individual health care provider with primary practice located at 850 Independence Road , Coal City WV 25823-1595. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Struckman, Joni M can be contacted via phone (304) 469-2905.

Contact Information

Primary practice address
850 Independence Road Coal City WV 25823-1595
Phone: (304) 469-2905
Fax: (304) 683-6906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01260 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 454 West Virginia

Profile Details

NPI number 1619059177
LBN Legal business name Struckman, Joni M
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated May 18th, 2020 - about 6 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 1619059177 NPPES
West Virginia MEDICAID 3810007575

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