Garcia, Servillano De Vera

Garcia, Servillano De Vera is an individual health care provider with primary practice located at 122 12Th Street Ext , Princeton WV 24740-2352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Garcia, Servillano De Vera can be contacted via phone (304) 487-7000.

Contact Information

Primary practice address
122 12Th Street Ext Princeton WV 24740-2352
Phone: (304) 487-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11413 West Virginia

Profile Details

NPI number 1851332068
LBN Legal business name Garcia, Servillano De Vera
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 9th, 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 1851332068 NPPES
West Virginia Other P00232896 MEDICARE RAILROAD
West Virginia MEDICAID 0047277000 MEDICARE RAILROAD

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