Chauvenet, Allen Russell
Chauvenet, Allen Russell is an individual health care provider with primary practice located at 830 Pennsylvania Avenue West Virginia University, Charleston WV 25302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Chauvenet, Allen Russell can be contacted via phone (304) 388-1552.Contact Information
Primary practice address
830 Pennsylvania Avenue West Virginia University
Charleston WV 25302
Phone: (304) 388-1552
Fax: (304) 388-2084
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 22776 | West Virginia |
Profile Details
NPI number | 1902880081 |
---|---|
LBN Legal business name | Chauvenet, Allen Russell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 2nd, 2005 |
Last updated | Jan 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902880081 | NPPES |
West Virginia | MEDICAID | 2053799A |
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