Daristotle, Joedy L
Daristotle, Joedy L is an sole proprietor health care provider with primary practice located at 1712 Locust Ave , Fairmont WV 26554-1321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as his primary health care specialty. Daristotle, Joedy L can be contacted via phone (304) 366-6157.Contact Information
Primary practice address
1712 Locust Ave
Fairmont WV 26554-1321
Phone: (304) 366-6157
Fax: (304) 366-0177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | WV14772 | West Virginia |
Profile Details
| NPI number | 1780712752 |
|---|---|
| LBN Legal business name | Daristotle, Joedy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Apr 12th, 2022 - about 2 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 | 1780712752 | NPPES |
| West Virginia | MEDICAID | 0041418000 |
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