Crites-Sams, Debra R

Crites-Sams, Debra R is an sole proprietor health care provider with primary practice located at 1478 Maplewood Ave , Ronceverte WV 24970-8017. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Crites-Sams, Debra R can be contacted via phone (304) 645-4406.

Contact Information

Primary practice address
1478 Maplewood Ave Ronceverte WV 24970-8017
Phone: (304) 645-4406
Fax: (304) 645-4492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1139 West Virginia

Profile Details

NPI number 1154318632
LBN Legal business name Crites-Sams, Debra R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Jan 23rd, 2020 - about 6 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 1154318632 NPPES
West Virginia MEDICAID 0041844000

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