NPI 1063957405
Jacob Carpenter
Practice location
- Address
- 210 Anthoni Ave, Wheeling, WV 26003-6403
- Phone
- (304) 242-6722
Registered specialties (2)
Behavior Technician
Primary
Home Health Aide
Registry record
- NPI
- 1063957405
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Dec 2016
- Record last updated
- 15 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.