Whitehall Medical Pllc, NPI 1659432631
General Practice Physician in Fairmont, WV, US
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 |
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 | |
| Taxonomy Name | General Practice Physician |
| Classification | |
| Group | |
| License No. | 1552 |
| License State | WV |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 2411485 | WV | GROUP | 01 |
| 3810006289 | WV | MEDICAID | 05 |
| 001711083 | WV | GROUP BCBS | 01 |
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