Bridgeport Express Care Inc

LBN: Bridgeport Express Care Inc
Bridgeport Express Care Inc is an health care organization with primary practice located at 2 Chenoweth Dr , Bridgeport WV 26330-1688. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Bridgeport Express Care Inc can be contacted via phone (304) 599-3129, or through Peasak, Timothy via phone (304) 599-3129.

Contact Information

Primary practice address
2 Chenoweth Dr Bridgeport WV 26330-1688
Phone: (304) 599-3129
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peasak, Timothy Doctor of Osteopathy (DO)
Phone: (304) 599-3129

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1912142001
LBN Legal business name Bridgeport Express Care Inc
DBA Doing business as
Authorized official Peasak, Timothy Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2008
Last updated Jan 26th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912142001 NPPES
West Virginia MEDICAID 3810013952

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