Vasicek, Richard E
Vasicek, Richard E is an sole proprietor health care provider with primary practice located at 177 Middletown Rd Ste 1 , Fairmont WV 26554-8254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vasicek, Richard E can be contacted via phone (304) 363-6600.Contact Information
Primary practice address
177 Middletown Rd Ste 1
Fairmont WV 26554-8254
Phone: (304) 363-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1552 | West Virginia |
Profile Details
| NPI number | 1316037146 |
|---|---|
| LBN Legal business name | Vasicek, Richard E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Sep 19th, 2022 - about 4 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 | 1316037146 | NPPES |
| Other | 000558950 | BC | |
| Other | 0010879001 | BC | |
| MEDICAID | 0047267000 | BC |
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