Individual
JACOB CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 ANTHONI AVE, WHEELING, WV 26003-6403
(304) 242-6722
Mailing address
210 ANTHONI AVE, WHEELING, WV 26003-6403
(304) 242-6722
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/20/2016
Last updated
12/15/2021
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