Individual
JOE SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2617 SHEFFIELD DR, BLACKSBURG, VA 24060-8271
(540) 953-2210
Mailing address
2617 SHEFFIELD DR, BLACKSBURG, VA 24060-8271
(540) 953-2210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002524
VA
363A00000X
Physician Assistant
900
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001836198
BLUE CROSS BLUE SHIELD
WV
05
—
010275628
—
VA
01
—
3001610
BRICKSTREET
WV
01
—
P00427090
RR MEDICARE
—
Enumeration date
05/16/2006
Last updated
03/17/2018
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