Perdue, David W.

Perdue, David W. is an individual health care provider with primary practice located at 122 12Th St , Princeton WV 24740-2312. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Perdue, David W. can be contacted via phone (304) 487-7726.

Contact Information

Primary practice address
122 12Th St Princeton WV 24740-2312
Phone: (304) 487-7726
Fax: (304) 431-5263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 295 West Virginia

Profile Details

NPI number 1174547442
LBN Legal business name Perdue, David W.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Aug 28th, 2015 - about 10 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 1174547442 NPPES
West Virginia Other 001836147 BLUE CROSS BLUE SHIELD
West Virginia MEDICAID 010381096 BLUE CROSS BLUE SHIELD
West Virginia Other 1070558 BLUE CROSS BLUE SHIELD
West Virginia MEDICAID 3810014308 BLUE CROSS BLUE SHIELD

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