Cansino, Ophelia Diaz

Cansino, Ophelia Diaz is an individual health care provider with primary practice located at 800 Garfield Ave , Parkersburg WV 26101-5340. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Cansino, Ophelia Diaz can be contacted via phone (304) 424-2590.

Contact Information

Primary practice address
800 Garfield Ave Parkersburg WV 26101-5340
Phone: (304) 424-2590
Fax: (304) 422-3924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 10733 West Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35056317 Ohio

Profile Details

NPI number 1154317931
LBN Legal business name Cansino, Ophelia Diaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
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 1154317931 NPPES
West Virginia MEDICAID 0059103000
West Virginia MEDICAID 0365608

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