Irvin, Heather M

Irvin, Heather M is an individual health care provider with primary practice located at 604 Ann St , Parkersburg WV 26101-5122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Irvin, Heather M can be contacted via phone (304) 865-5065.

Contact Information

Primary practice address
604 Ann St Parkersburg WV 26101-5122
Fax: (304) 865-5036
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 21425 West Virginia

Profile Details

NPI number 1790779205
LBN Legal business name Irvin, Heather M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jan 13th, 2021 - about 5 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 1790779205 NPPES
West Virginia MEDICAID 3810000216

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