Jerry Don Browning

Individual provider Active NPI Personal Care Attendant · Logan, WV

NPI 1194339036 · NPPES record last updated Jun 23, 2021

Key facts

NPI
1194339036
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
43 1/2 Pine St
Logan, WV 25601-4004
Phone
(304) 688-9002
NPI assigned
Sep 8, 2020
Sex
Male
Sole proprietor
No

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 3747P1801X Yes

Addresses

Primary practice location

43 1/2 Pine St
Logan, WV 25601-4004

Mailing address

43 1/2 Pine St
Logan, WV 25601-4004
Phone (304) 688-9002

Other providers in Logan, WV

All providers in Logan, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.