Whitehall Medical Pllc

LBN: Whitehall Medical Pllc
Whitehall Medical Pllc is an health care organization with primary practice located at 177 Middletown Rd Suite 1, Fairmont WV 26554-8216. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Whitehall Medical Pllc can be contacted via phone (304) 363-6600, or through Vasicek, Richard E. via phone (304) 363-6600.

Contact Information

Primary practice address
177 Middletown Rd Suite 1 Fairmont WV 26554-8216
Phone: (304) 363-6600
Fax: (304) 363-7700
Website:
Map and Directions
Authorized official contact:
Name: Vasicek, Richard E. Doctor of Osteopathy (DO)
Phone: (304) 363-6600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 1552 West Virginia

Profile Details

NPI number 1659432631
LBN Legal business name Whitehall Medical Pllc
DBA Doing business as
Authorized official Vasicek, Richard E. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated May 3rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659432631 NPPES
West Virginia Other 2411485 GROUP
West Virginia MEDICAID 3810006289 GROUP
West Virginia Other 001711083 GROUP

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