Michael A Kodrich in Parkersburg - Professional

Michael A Kodrich - NPI 1134131329

Michael A Kodrich is a Professional in Parkersburg, . Michael A Kodrich practices all healthcare services and medical treatments related to Professional. The NPI Number for Michael A Kodrich is 1134131329. The last update date is 2007-07-08.

Michael A Kodrich's current location address is 3501 Emerson Ave, Parkersburg, . You can contact this provider via phone number 3044200940 and fax number 3048652214. The mailing address for Michael A Kodrich is 3501 Emerson Ave, Parkersburg, . To know further, please read the information below!

Provider Profile Detail

Provider Name Michael A Kodrich
Address 3501 Emerson Ave, Parkersburg,
Phone Number 3044200940
Fax Number 3048652214
Sole Proprietor Y
Credentials LPC

NPI Number Detail

NPI Number 1134131329
Provider Enumeration Date 2006-08-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3501 Emerson Ave
City Parkersburg
State (WV)
Post Code 261041849
Phone Number 3044200940
Fax Number 3048652214

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 1197
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Y288393 WV HEALTH PLAN PIN NUMBER
96167 WV VALUE OPTIONS PIN NUMBER
180073 WV COMPSYCH PIN NUMBER
2031476 WV CIGNA HEALTH CARE PIN NUM
234570 WV ANTHEM PIN NUMBER
7227387 WV AETNA PROVIDER PIN NUMBER

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FAQs about Michael A Kodrich

What is the unique identifier code issued to Michael A Kodrich by the Centers for Medicare & Medicaid Services (CMS)?

The Michael A Kodrich has been assigned the NPI (National Provider Identifier) 1134131329. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Michael A Kodrich is geographically located?

The Michael A Kodrich is physically situated at the following location: 3501 Emerson Ave, Parkersburg, WV, 261041849.

What is Michael A Kodrich's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael A Kodrich's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.

On what date did Michael A Kodrich receive its 1134131329 assignment from the Centers for Medicare & Medicaid Services?

The Michael A Kodrich was assigned its 1134131329 on 2006-08-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Michael A Kodrich's details last updated?

The information pertaining to the Michael A Kodrich, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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