Richard Markham Jr.

Individual provider Active NPI Day Training/Habilitation Specialist · Newell, WV

NPI 1194312439 · NPPES record last updated Jan 4, 2021

Key facts

NPI
1194312439
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
607 Washington St
Newell, WV 26050-1211
Phone
(304) 224-0271
NPI assigned
Dec 21, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP
3747P1801X
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

607 Washington St
Newell, WV 26050-1211

Mailing address

607 Washington St
Newell, WV 26050-1211
Phone (304) 224-0271

Other providers in Newell, WV

All providers in Newell, WV · Day Training/Habilitation Specialist in West Virginia

Sources for this page

Verify at the official NPI Registry.