| Specialty | Taxonomy Code | |
|---|---|---|
| * | Family Health | 364SF0001X |
| Psychiatric/Mental Health | 363LP0808X |
* Indicates primary specialty
| NPI Number | 1588999007 |
| Legal business name LBN |
FOUR RIVERS HEALTHCARE CLINIC |
| Authorized official | JODY STARK - (PRESIDENT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 10/16/2009 |
| Last updated | 10/16/2009 - About 17 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
There are currently no reviews for FOUR RIVERS HEALTHCARE CLINIC