Provider Demographics
NPI:1790584969
Name:PLEGER, JAMES RICHARD
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:PLEGER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 PLEGER FARM DR
Mailing Address - Street 2:
Mailing Address - City:POCA
Mailing Address - State:WV
Mailing Address - Zip Code:25159-7675
Mailing Address - Country:US
Mailing Address - Phone:602-549-5776
Mailing Address - Fax:
Practice Address - Street 1:225 PLEGER FARM DR
Practice Address - Street 2:
Practice Address - City:POCA
Practice Address - State:WV
Practice Address - Zip Code:25159-7675
Practice Address - Country:US
Practice Address - Phone:602-549-5776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant