Asbury, Gary Keith

Asbury, Gary Keith is an sole proprietor health care provider with primary practice located at 200 Kanawha Ter Suite 102, Saint Albans WV 25177-2867. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Asbury, Gary Keith can be contacted via phone (304) 727-2224.

Contact Information

Primary practice address
200 Kanawha Ter Suite 102 Saint Albans WV 25177-2867
Fax: (304) 727-2225
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3129 West Virginia

Profile Details

NPI number 1538218730
LBN Legal business name Asbury, Gary Keith
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538218730 NPPES
West Virginia MEDICAID 0134123000

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