IndividualActive
Eddie Allen, CST, CLT
NPI 1043245442 · Other Technician · Bridgeport, WV
Provider details
- NPI number
- 1043245442
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST, CLT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
166 Thompson Dr
Bridgeport, WV 26330-1644
Phone: (304) 842-6001
Fax: (304) 842-6111
Approximate (ZIP-level) locationGet directions
Mailing address
166 Thompson Dr
Bridgeport, WV 26330-1644
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.