Namsupak, James

Namsupak, James is an sole proprietor health care provider with primary practice located at 401 Guffey St John Manchin Sr. Health Care Center, Fairmont WV 26554-4029. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Namsupak, James can be contacted via phone (304) 363-2500.

Contact Information

Primary practice address
401 Guffey St John Manchin Sr. Health Care Center Fairmont WV 26554-4029
Phone: (304) 363-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 23919 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23919 West Virginia

Profile Details

NPI number 1043486145
LBN Legal business name Namsupak, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2008
Last updated Sep 16th, 2013 - about 13 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 1043486145 NPPES
West Virginia MEDICAID 3810016983

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