Institute Of Disability Medicine Inc.

LBN: Institute Of Disability Medicine Inc.
Institute Of Disability Medicine Inc. is an health care organization with primary practice located at 40 Medical Park Suite 304, Wheeling WV 26003-6392. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Institute Of Disability Medicine Inc. can be contacted via phone (304) 242-2503, or through Govindan, Srini via phone (304) 242-2503.

Contact Information

Primary practice address
40 Medical Park Suite 304 Wheeling WV 26003-6392
Fax: (304) 242-2682
Website:
Authorized official contact:
Name: Govindan, Srini Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9751 West Virginia

Profile Details

NPI number 1306064118
LBN Legal business name Institute Of Disability Medicine Inc.
DBA Doing business as
Authorized official Govindan, Srini Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Jan 24th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306064118 NPPES
West Virginia MEDICAID 0090961000
West Virginia Other 9751

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