Vance, Jamie Louise

Vance, Jamie Louise is an individual health care provider with primary practice located at 1322 Maplewood Ave , Ronceverte WV 24970-1322. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Vance, Jamie Louise can be contacted via phone (304) 647-1139.

Contact Information

Primary practice address
1322 Maplewood Ave Ronceverte WV 24970-1322
Phone: (304) 647-1139
Fax: (304) 647-3006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2754 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2754 West Virginia

Profile Details

NPI number 1720349475
LBN Legal business name Vance, Jamie Louise
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Mar 6th, 2022 - about 4 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 1720349475 NPPES
West Virginia MEDICAID 1720349475

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