Irvin, Richard A

Irvin, Richard A is an sole proprietor health care provider with primary practice located at 2129 National Rd , Wheeling WV 26003-5247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Irvin, Richard A can be contacted via phone (304) 242-2303.

Contact Information

Primary practice address
2129 National Rd Wheeling WV 26003-5247
Phone: (304) 242-2303
Fax: (304) 242-4231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1279 West Virginia

Profile Details

NPI number 1083603336
LBN Legal business name Irvin, Richard A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Oct 26th, 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 1083603336 NPPES
West Virginia Other 0205733701 WV COMP
West Virginia Other 0053352001 WV COMP
West Virginia MEDICAID 0053352001 WV COMP
West Virginia Other 153563 WV COMP
West Virginia Other 1279C WV COMP
West Virginia MEDICAID 2310412 WV COMP
West Virginia Other 001705854 WV COMP

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