1497733430 NPI number — JANET WEEKLEY ADKINS M.A.

Table of content: JANET WEEKLEY ADKINS M.A. (NPI 1497733430)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497733430 NPI number — JANET WEEKLEY ADKINS M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADKINS
Provider First Name:
JANET
Provider Middle Name:
WEEKLEY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KNIGHT
Provider Other First Name:
JANET
Provider Other Middle Name:
INEZ
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497733430
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 196
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BARBOURSVILLE
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25504-0196
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-522-9555
Provider Business Mailing Address Fax Number:
304-522-9555

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6351 US ROUTE 60 E
Provider Second Line Business Practice Location Address:
JOHNSON PLAZA, SUITE 2A
Provider Business Practice Location Address City Name:
BARBOURSVILLE
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25504-1233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-522-9555
Provider Business Practice Location Address Fax Number:
304-522-9555
Provider Enumeration Date:
01/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  565 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2330472 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5930 . This is a "APS AGENCY PROVIDER #" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 6435916 . This is a "CIGNA BEHAVIORAL HEALTH" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 1053268 . This is a "WORKER'S COMP. VENDOR" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 1194283 . This is a "CHA HEALTH PROVIDER #" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 84196 . This is a "OPTUM/UNITED HEALTH CARE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 00170580 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 0164237000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0024520A . This is a "WV SOCSECDISABILITY VENDO" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".




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