Agnes A Enrico-Simon, Pllc

LBN: Agnes A Enrico-Simon, Pllc
Agnes A Enrico-Simon, Pllc is an health care organization with primary practice located at 2415 Jackson Ave , Pt Pleasant WV 25550-2042. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Agnes A Enrico-Simon, Pllc can be contacted via phone (304) 675-6090, or through Enrico-Simon, Agnes A via phone (304) 675-6817.

Contact Information

Primary practice address
2415 Jackson Ave Pt Pleasant WV 25550-2042
Phone: (304) 675-6090
Fax: (304) 675-5893
Website:
Map and Directions
Authorized official contact:
Name: Enrico-Simon, Agnes A Doctor of Medicine (MD)
Phone: (304) 675-6817

Health care specialties

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

Profile Details

NPI number 1386846707
LBN Legal business name Agnes A Enrico-Simon, Pllc
DBA Doing business as
Authorized official Enrico-Simon, Agnes A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1386846707 NPPES
West Virginia MEDICAID 3002914000

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