Wisman, Richard C.

Wisman, Richard C. is an individual health care provider with primary practice located at 379 Stanaford Rd , Beckley WV 25801-3141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wisman, Richard C. can be contacted via phone (304) 253-3000.

Contact Information

Primary practice address
379 Stanaford Rd Beckley WV 25801-3141
Phone: (304) 253-3000
Fax: (304) 469-9811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12767 West Virginia

Profile Details

NPI number 1265475826
LBN Legal business name Wisman, Richard C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Oct 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265475826 NPPES
West Virginia MEDICAID 0049654000

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