Beres, Michael Brian

Beres, Michael Brian is an individual health care provider with primary practice located at 77 Hospital Dr Suite 400, Logan WV 25601-3451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Beres, Michael Brian can be contacted via phone (304) 792-1480.

Contact Information

Primary practice address
77 Hospital Dr Suite 400 Logan WV 25601-3451
Phone: (304) 792-1480
Fax: (304) 792-1481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 20176 West Virginia

Profile Details

NPI number 1124019997
LBN Legal business name Beres, Michael Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Aug 21st, 2012 - about 13 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 1124019997 NPPES
West Virginia MEDICAID 1802361001
West Virginia Other 180045749
West Virginia Other 001705979
West Virginia Other 562873
West Virginia Other 226977

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