Whitehall Medical Pllc, NPI 1659432631
General Practice Physician in Fairmont, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1659432631
NPI Entity Type Organization
Provider Name Whitehall Medical Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 177 Middletown Rd, Suite 1, Fairmont, WV, US
Provider Mailing Address 177 Middletown Rd, Suite 1, Fairmont, WV, US, 265548216
Is Sole Proprietor? No
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Organization Official

Official Name DR. DO Richard E. Vasicek
Official Position MEMBER OWNER
Phone 304-363-6600

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

208D00000X

Taxonomy Name General Practice Physician
Classification

General Practice

Group

Allopathic & Osteopathic Physicians

License No. 1552
License State WV
Description Definition to come...

Business Address

Whitehall Medical Pllc
177 Middletown Rd
Suite 1

Fairmont, WV, US

Phone: 304-363-6600
Fax: 304-363-7700

Mailing Address

Whitehall Medical Pllc
177 Middletown Rd
Suite 1
Fairmont, WV, US
ZIP 265548216
Phone: 304-363-6600
Fax: 304-363-7700

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2411485 WV GROUP 01
3810006289 WV MEDICAID 05
001711083 WV GROUP BCBS 01

Other Providers in WV, US

NPI Name Taxonomy Address

1255056628

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Mary Mccullough

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