Provider Demographics
NPI:1497749766
Name:SETTLE, JAMIE LEE (PA C)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:SETTLE
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:SCARBRO
Mailing Address - State:WV
Mailing Address - Zip Code:25917-0337
Mailing Address - Country:US
Mailing Address - Phone:304-469-4996
Mailing Address - Fax:304-469-2981
Practice Address - Street 1:RR 2 BOX 615A
Practice Address - Street 2:NEW RIVER HEALTH WHIPPLE
Practice Address - City:SCARBRO
Practice Address - State:WV
Practice Address - Zip Code:25917-9784
Practice Address - Country:US
Practice Address - Phone:304-469-4996
Practice Address - Fax:304-469-2981
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV01126363A00000X
WV340363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810006841Medicaid
WV2029481Medicare PIN
WV2029482Medicare PIN
WV3810006841Medicaid