Search › West Virginia › 172A00000X
Derrick Showalter
NPI 1740856848 · on the registry since 2021
Practice
- Address
- 1122 Mercer St
Princeton, WV 24740 - Phone
- (304) 800-0544
- Organisation at this address
- S/B Transportation, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia