Dundervill, Robert F
Dundervill, Robert F is an sole proprietor health care provider with primary practice located at 331 Laidley St Ste 301, Charleston WV 25301-1605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Dundervill, Robert F can be contacted via phone (304) 346-4400.Contact Information
Primary practice address
331 Laidley St Ste 301
Charleston WV 25301-1605
Phone: (304) 346-4400
Fax: (304) 346-0704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 30257 | Kentucky |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 35094593 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 18154 | West Virginia |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 18154 | West Virginia |
Profile Details
| NPI number | 1497759229 |
|---|---|
| LBN Legal business name | Dundervill, Robert F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | May 6th, 2021 - about 3 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 | 1497759229 | NPPES |
| Ohio | MEDICAID | 0976832 | |
| Ohio | MEDICAID | 0096030000 | |
| Ohio | MEDICAID | 64302573 |
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