Dague, Gerald A
Dague, Gerald A is an individual health care provider with primary practice located at 1 Medical Park , Wheeling WV 26003-6379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dague, Gerald A can be contacted via phone (304) 214-3124.Contact Information
Primary practice address
1 Medical Park
Wheeling WV 26003-6379
Phone: (304) 214-3124
Fax: (304) 243-6343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20720 | West Virginia |
Profile Details
| NPI number | 1346292356 |
|---|---|
| LBN Legal business name | Dague, Gerald A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346292356 | NPPES |
| West Virginia | MEDICAID | 1811524000 |
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