Carson, William R
Carson, William R is an sole proprietor health care provider with primary practice located at 4089 Webster Rd , Summersville WV 26651-7200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Carson, William R can be contacted via phone (304) 900-2589.Contact Information
Primary practice address
4089 Webster Rd
Summersville WV 26651-7200
Phone: (304) 900-2589
Fax: (800) 397-1586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 18114 | West Virginia |
Profile Details
| NPI number | 1851445225 |
|---|---|
| LBN Legal business name | Carson, William R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Mar 13th, 2024 - about last year |
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 | 1851445225 | NPPES |
| West Virginia | MEDICAID | 0098219000 | |
| West Virginia | Other | 0786513 |
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