| Jamie Johans Crosier Llc | |
|
403 Bell Dr Lewisburg WV 24901-2053 | |
| (304) 205-9327 | |
| Not Available |
| Full Name | Jamie Johans Crosier Llc |
|---|---|
| Speciality | Social Worker |
| Location | 403 Bell Dr, Lewisburg, West Virginia |
| Authorized Official Name and Position | Jamie Crosier (OWNER/PROVIDER) |
| Authorized Official Contact | 3042059327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Johans Crosier Llc 403 Bell Dr Lewisburg WV 24901-2053 Ph: (304) 205-9327 | Jamie Johans Crosier Llc 403 Bell Dr Lewisburg WV 24901-2053 Ph: (304) 205-9327 |
| NPI Number | 1194429282 |
|---|---|
| Provider Enumeration Date | 03/30/2023 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Medicare PECOS PAC ID | 9335505254 |
|---|---|
| Medicare Enrollment ID | O20230519000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194429282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jamie L Crosier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205162179 PECOS PAC ID: 0244696169 Enrollment ID: I20230524001709 |
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