Individual
JOSEPH JARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 LAIDLEY ST STE 605, CHARLESTON, WV 25301-1614
(304) 720-7235
(304) 720-7236
Mailing address
3456 PIEDMONT RD, CHARLESTON, WV 25306-6635
(304) 926-0900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19030
WV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
19030
WV
208M00000X
Hospitalist Physician
Primary
19030
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001712898
BCBS PIN NUMBER
WV
05
—
0080847000
—
WV
Enumeration date
11/01/2006
Last updated
07/21/2022
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