Deguzman, Gary S

Deguzman, Gary S is an sole proprietor health care provider with primary practice located at 2115 Chapline St Suite 306, Wheeling WV 26003-3859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Deguzman, Gary S can be contacted via phone (304) 234-1817.

Contact Information

Primary practice address
2115 Chapline St Suite 306 Wheeling WV 26003-3859
Fax: (304) 234-8448
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 19734 West Virginia

Profile Details

NPI number 1801807755
LBN Legal business name Deguzman, Gary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 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 1801807755 NPPES
West Virginia MEDICAID 0300027000
West Virginia MEDICAID 2160281

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