Clarksburg Ent - Uha

LBN: Clarksburg Ent - Uha
Clarksburg Ent - Uha is an health care organization with primary practice located at 700 Genesis Blvd , Bridgeport WV 26330-9668. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Clarksburg Ent - Uha can be contacted via phone (304) 598-4825, or through Mcdaniel, Robyn M via phone (304) 293-5033.

Contact Information

Primary practice address
700 Genesis Blvd Bridgeport WV 26330-9668
Phone: (304) 598-4825
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcdaniel, Robyn M
Phone: (304) 293-5033

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1326277187
LBN Legal business name Clarksburg Ent - Uha
DBA Doing business as
Authorized official Mcdaniel, Robyn M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2009
Last updated Jul 14th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326277187 NPPES
West Virginia MEDICAID 0011526000

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