Jason Dwight Cox
Individual provider Active NPI Early Intervention Provider Agency · Wayne, WV
NPI 1245057264 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1245057264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 145 Cox Rd
Wayne, WV 25570-4816 - Phone
- (304) 360-2003
- NPI assigned
- Sep 21, 2024
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
145 Cox Rd
Wayne, WV 25570-4816
Mailing address
145 Cox Rd
Wayne, WV 25570-4816
Phone (304) 360-2003
Other providers in Wayne, WV
- Alexandra Nicole Collins
- Jerome Conners
- Tracy Rae Cooley
- Benjamin Cox
- Betty Jean Cox
- Tabitha Crabtree
- Ruth Crowe
- Jessica Nicole Davis
- Kira Nichelle Davis
- Luke Thomas Dickerson
All providers in Wayne, WV · Early Intervention Provider Agency in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.