Vidal, Melchor F
Vidal, Melchor F is an sole proprietor health care provider with primary practice located at 27545 Daniel Boone Prkwy , Racine WV 25165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Vidal, Melchor F can be contacted via phone (304) 837-8637.Contact Information
Primary practice address
27545 Daniel Boone Prkwy
Racine WV 25165
Phone: (304) 837-8637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 13443 | West Virginia |
Profile Details
| NPI number | 1063515054 |
|---|---|
| LBN Legal business name | Vidal, Melchor F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1063515054 | NPPES |
| West Virginia | MEDICAID | 0049855001 |
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