Wine, William M

Wine, William M is an individual health care provider with primary practice located at 750 Stanaford Rd , Beckley WV 25801-8737. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wine, William M can be contacted via phone (304) 252-8609.

Contact Information

Primary practice address
750 Stanaford Rd Beckley WV 25801-8737
Phone: (304) 252-8609
Fax: (304) 253-8870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1898 West Virginia

Profile Details

NPI number 1649204405
LBN Legal business name Wine, William M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 29th, 2008 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649204405 NPPES
West Virginia MEDICAID 0138303000

Popular Providers