| Jim Pritchard, Inc. | |
|
4346 Starkey Rd Suite 1 Roanoke VA 24018-0605 | |
| (540) 772-8043 | |
| (540) 772-8242 |
| Full Name | Jim Pritchard, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 4346 Starkey Rd, Roanoke, Virginia |
| Authorized Official Name and Position | James S Pritchard (OWNER) |
| Authorized Official Contact | 5405218178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim Pritchard, Inc. 4346 Starkey Rd Suite 1 Roanoke VA 24018-0605 Ph: (540) 772-8043 | Jim Pritchard, Inc. 4346 Starkey Rd Suite 1 Roanoke VA 24018-0605 Ph: (540) 772-8043 |
| NPI Number | 1831432335 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 04/03/2013 |
| Medicare PECOS PAC ID | 3779026786 |
|---|---|
| Medicare Enrollment ID | O20240619000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831432335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701004114 (Virginia) | Primary |
| Provider Name | James S Pritchard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851451546 PECOS PAC ID: 4688117690 Enrollment ID: I20240705000083 |
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