Amigo, Isidro A

Amigo, Isidro A is an individual health care provider with primary practice located at 8 Rose St , Grafton WV 26354-1678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Amigo, Isidro A can be contacted via phone (304) 265-0095.

Contact Information

Primary practice address
8 Rose St Grafton WV 26354-1678
Phone: (304) 265-0095
Fax: (304) 265-6215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34002976 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 1181 West Virginia

Profile Details

NPI number 1821049339
LBN Legal business name Amigo, Isidro A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 7th, 2016 - about 9 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 1821049339 NPPES
West Virginia MEDICAID 0128645000
West Virginia MEDICAID 0551675

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