Augustin, Gerda

Augustin, Gerda is an sole proprietor health care provider with primary practice located at 108 W Pike St , Clarksburg WV 26301-2721. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Augustin, Gerda can be contacted via phone (304) 918-9286.

Contact Information

Primary practice address
108 W Pike St Clarksburg WV 26301-2721
Phone: (304) 918-9286
Fax: (304) 918-9287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA07823800 New Jersey
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD427933 Pennsylvania
Allopathic & Osteopathic Physicians / General Practice 208D00000X 30878 West Virginia

Profile Details

NPI number 1881628436
LBN Legal business name Augustin, Gerda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Oct 3rd, 2022 - about 3 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 1881628436 NPPES
New Jersey MEDICAID 0063002

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