Individual
JONI M STRUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
850 INDEPENDENCE ROAD, COAL CITY, WV 25823-1595
(304) 469-2905
(304) 683-6906
Mailing address
PO BOX 337, SCARBRO, WV 25917
(304) 465-1378
(304) 469-2981
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01260
WV
363A00000X
Physician Assistant
Primary
454
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007575
—
WV
Enumeration date
10/20/2006
Last updated
05/18/2020
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