Fidler, Donald C
Fidler, Donald C is an individual health care provider with primary practice located at 930 Chestnut Ridge Rd , Morgantown WV 26505-2807. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Fidler, Donald C can be contacted via phone (304) 598-4214.Contact Information
Primary practice address
930 Chestnut Ridge Rd
Morgantown WV 26505-2807
Phone: (304) 598-4214
Fax: (304) 293-6963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 15340 | West Virginia |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 15340 | West Virginia |
Profile Details
| NPI number | 1871552802 |
|---|---|
| LBN Legal business name | Fidler, Donald C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871552802 | NPPES |
| West Virginia | MEDICAID | 0114580000 |
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