Martinsburg Internal Medicine Assoc Inc

LBN: Martinsburg Internal Medicine Assoc Inc
Martinsburg Internal Medicine Assoc Inc is an health care organization with primary practice located at 1002 Sushruta Dr , Martinsburg WV 25401-8897. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Martinsburg Internal Medicine Assoc Inc can be contacted via phone (304) 263-0913, or through Jalazo, Jesse Brian via phone (304) 263-0913.

Contact Information

Primary practice address
1002 Sushruta Dr Martinsburg WV 25401-8897
Phone: (304) 263-0913
Fax: (304) 267-2917
Website:
Map and Directions
Authorized official contact:
Name: Jalazo, Jesse Brian Doctor of Medicine (MD)
Phone: (304) 263-0913

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X West Virginia

Profile Details

NPI number 1558323006
LBN Legal business name Martinsburg Internal Medicine Assoc Inc
DBA Doing business as
Authorized official Jalazo, Jesse Brian Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2006
Last updated Aug 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558323006 NPPES
West Virginia MEDICAID 0008030000

Popular Providers