Portugal, Salvador C.

Portugal, Salvador C. is an sole proprietor health care provider with primary practice located at 400 Division St Suite 9, South Charleston WV 25309-1459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Portugal, Salvador C. can be contacted via phone (304) 766-3482.

Contact Information

Primary practice address
400 Division St Suite 9 South Charleston WV 25309-1459
Phone: (304) 766-3482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 13580 West Virginia

Profile Details

NPI number 1184682171
LBN Legal business name Portugal, Salvador C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Nov 27th, 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 1184682171 NPPES
West Virginia MEDICAID 0101112000

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