Wiles, Jennifer M

Wiles, Jennifer M is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se , Charleston WV 25304-1227. 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. Wiles, Jennifer M can be contacted via phone (304) 388-4170.

Contact Information

Primary practice address
3200 Maccorkle Ave Se Charleston WV 25304-1227
Phone: (304) 388-4170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01116 West Virginia

Profile Details

NPI number 1700862661
LBN Legal business name Wiles, Jennifer M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Sep 20th, 2011 - about 15 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 1700862661 NPPES
West Virginia Other 1069529 WV DWC
West Virginia Other 001718079 WV DWC

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