Individual provider · Type 1 NPI

Henry Thomas Van Pietersom

Student in an Organized Health Care Education/Training Program · Charleston, WV

NPI number 1982528477 Active

Practice location

2300 Maccorkle Ave SE # 201
Charleston, WV 25304-1099

Call (800) 995-4682 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982528477

Henry Thomas Van Pietersom's National Provider Identifier is 1982528477, issued on Aug 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charleston, WV. The record was last updated on Aug 6, 2026.