Provider Demographics
NPI:1356523559
Name:KAPOSY, JASON PAUL (L-HIS)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:PAUL
Last Name:KAPOSY
Suffix:
Gender:M
Credentials:L-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 N MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:MOOREFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:26836-1081
Mailing Address - Country:US
Mailing Address - Phone:304-538-3464
Mailing Address - Fax:304-538-7388
Practice Address - Street 1:608 N MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:MOOREFIELD
Practice Address - State:WV
Practice Address - Zip Code:26836-1081
Practice Address - Country:US
Practice Address - Phone:304-538-3464
Practice Address - Fax:304-538-7388
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV889237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist