Racadag, Alex Presbitero
Racadag, Alex Presbitero is an sole proprietor health care provider with primary practice located at 20 Hospital Dr , Logan WV 25601-3452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Racadag, Alex Presbitero can be contacted via phone (304) 831-1555.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 19250 | West Virginia |
Profile Details
| NPI number | 1831183862 |
|---|---|
| LBN Legal business name | Racadag, Alex Presbitero |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Nov 12th, 2007 - about 18 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 | 1831183862 | NPPES |
| West Virginia | MEDICAID | 0104260000 | |
| West Virginia | MEDICAID | 64049901 |
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