Chertow, Bruce S

Chertow, Bruce S is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite G500, Huntington WV 25701-3656. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chertow, Bruce S can be contacted via phone (304) 691-1000.

Contact Information

Primary practice address
1600 Medical Center Dr Suite G500 Huntington WV 25701-3656
Phone: (304) 691-1000
Fax: (304) 691-1693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11677 West Virginia
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 11677 West Virginia
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 11677 West Virginia

Profile Details

NPI number 1043275662
LBN Legal business name Chertow, Bruce S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 8th, 2007 - 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 1043275662 NPPES
Kentucky MEDICAID 64693815
Kentucky MEDICAID 0414028
Kentucky MEDICAID 0082914000

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