Boisvert, Craig S
Boisvert, Craig S is an individual health care provider with primary practice located at 1464 Jefferson St N , Lewisburg WV 24901-1380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boisvert, Craig S can be contacted via phone (304) 645-3220.Contact Information
Primary practice address
1464 Jefferson St N
Lewisburg WV 24901-1380
Phone: (304) 645-3220
Fax: (304) 645-4103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1126 | West Virginia |
Profile Details
| NPI number | 1508838889 |
|---|---|
| LBN Legal business name | Boisvert, Craig S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Feb 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508838889 | NPPES |
| West Virginia | MEDICAID | 0041613000 |
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