Mace, Robert Morgan

Mace, Robert Morgan is an individual health care provider with primary practice located at 125 Diana Dr , Webster Springs WV 26288-9078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mace, Robert Morgan can be contacted via phone (304) 847-5682.

Contact Information

Primary practice address
125 Diana Dr Webster Springs WV 26288-9078
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 09250 West Virginia

Profile Details

NPI number 1588641518
LBN Legal business name Mace, Robert Morgan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Apr 26th, 2024 - about last year

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 1588641518 NPPES
West Virginia MEDICAID 0055601000

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