Bundy, Dwight Earl
Bundy, Dwight Earl is an individual health care provider with primary practice located at 400 N Jefferson St , Lewisburg WV 24901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bundy, Dwight Earl can be contacted via phone (304) 645-3220.Contact Information
Primary practice address
400 N Jefferson St
Lewisburg WV 24901
Phone: (304) 645-3220
Fax: (304) 645-4103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 965 | West Virginia |
Profile Details
| NPI number | 1578534962 |
|---|---|
| LBN Legal business name | Bundy, Dwight Earl |
| Credentials | DO MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Nov 23rd, 2009 - about 16 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 | 1578534962 | NPPES |
| West Virginia | MEDICAID | 0051233000 |
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