Stuck, Jeremy Robert

Stuck, Jeremy Robert is an individual health care provider with primary practice located at 54 W 3Rd Ave , Williamson WV 25661-3508. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stuck, Jeremy Robert can be contacted via phone (304) 235-4300.

Contact Information

Primary practice address
54 W 3Rd Ave Williamson WV 25661-3508
Phone: (304) 235-4300
Fax: (304) 235-0176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT015972 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 002281 West Virginia

Profile Details

NPI number 1053334557
LBN Legal business name Stuck, Jeremy Robert
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053334557 NPPES
West Virginia MEDICAID 3810000550
West Virginia Other 571136141003

Popular Providers