Camomot, Wigberto C

Camomot, Wigberto C is an individual health care provider with primary practice located at 329 Main Street , Red Jacket WV 25692-0329. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Camomot, Wigberto C can be contacted via phone (304) 426-6428.

Contact Information

Primary practice address
329 Main Street Red Jacket WV 25692-0329
Fax: (304) 426-8413
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 13624 West Virginia

Profile Details

NPI number 1093808172
LBN Legal business name Camomot, Wigberto C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Mar 19th, 2008 - about 17 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 1093808172 NPPES
West Virginia MEDICAID 0050600000

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