Oliver, Ross Samuel
Oliver, Ross Samuel is an sole proprietor health care provider with primary practice located at 2335 Chesterfield Avenue, Suite 101, Charleston WV 25304-1066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Oliver, Ross Samuel can be contacted via phone (304) 344-3785.Contact Information
Primary practice address
2335 Chesterfield Avenue, Suite 101
Charleston WV 25304-1066
Phone: (304) 344-3785
Fax: (304) 344-3765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 13925 | West Virginia |
Profile Details
| NPI number | 1053497453 |
|---|---|
| LBN Legal business name | Oliver, Ross Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | May 14th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053497453 | NPPES |
| West Virginia | Other | 0216253040000 | TRICARE |
| West Virginia | Other | 185112 | TRICARE |
| West Virginia | Other | 340002703 | TRICARE |
| West Virginia | Other | 001721031 | TRICARE |
| West Virginia | Other | 4242731 | TRICARE |
| West Virginia | MEDICAID | 0130039000 | TRICARE |
| West Virginia | Other | 1393063 | TRICARE |
| West Virginia | Other | 1508836 | TRICARE |
| West Virginia | Other | 1002718509 | TRICARE |
| West Virginia | Other | 221960 | TRICARE |
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