Mountain State Vascular, Inc.
LBN: Mountain State Vascular, Inc.
Mountain State Vascular, Inc. is an health care organization with primary practice located at 121 George Street , Beckley WV 25801. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty.
Mountain State Vascular, Inc. can be contacted via phone (304) 250-0382, or through Whyte, Brian Roland via phone (304) 250-0382.
Contact Information
Primary practice address
121 George Street
Beckley WV 25801
Phone: (304) 250-0382
Fax:
Website:
Authorized official contact:
Name: Whyte, Brian Roland Doctor of Medicine (MD)
Phone: (304) 250-0382
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 22852 | West Virginia |
Profile Details
| NPI number | 1104318625 |
|---|---|
| LBN Legal business name | Mountain State Vascular, Inc. |
| DBA Doing business as | |
| Authorized official | Whyte, Brian Roland Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2018 |
| Last updated | May 22nd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104318625 | NPPES |
| West Virginia | Other | 1795 | WV BOARD OF MEDICINE REGISTRATION |
| West Virginia | Other | 9ALVR | WV BOARD OF MEDICINE REGISTRATION |
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