Gitelman, Larry R

Gitelman, Larry R is an individual health care provider with primary practice located at 310 American Way Ste A , Weirton WV 26062-4083. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Gitelman, Larry R can be contacted via phone (304) 797-6410.

Contact Information

Primary practice address
310 American Way Ste A Weirton WV 26062-4083
Phone: (304) 797-6410
Fax: (304) 797-6320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X VP005783L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN59184 West Virginia

Profile Details

NPI number 1568438539
LBN Legal business name Gitelman, Larry R
Credentials ADVANCED RN PRACT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Nov 15th, 2022 - about 4 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 1568438539 NPPES
West Virginia MEDICAID 7102381000

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