Waldeck, James M

Waldeck, James M is an sole proprietor health care provider with primary practice located at 1600 Medical Center Dr Ste 3500 , Huntington WV 25701-3655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Waldeck, James M can be contacted via phone (304) 691-1300.

Contact Information

Primary practice address
1600 Medical Center Dr Ste 3500 Huntington WV 25701-3655
Phone: (304) 691-1300
Fax: (304) 691-1375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 14006 West Virginia

Profile Details

NPI number 1760446637
LBN Legal business name Waldeck, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
Last updated Dec 30th, 2021 - about 5 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 1760446637 NPPES
Ohio MEDICAID 0752172
Ohio MEDICAID 0112996000
Ohio MEDICAID 64698301

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