Ednacot, Romeo R

Ednacot, Romeo R is an individual health care provider with primary practice located at 207 Maplewood Ave , Ronceverte WV 24970-1335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Ednacot, Romeo R can be contacted via phone (304) 645-7007.

Contact Information

Primary practice address
207 Maplewood Ave Ronceverte WV 24970-1335
Fax: (304) 645-7008
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 10073 West Virginia

Profile Details

NPI number 1003810631
LBN Legal business name Ednacot, Romeo R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jul 9th, 2007 - about 18 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 1003810631 NPPES
West Virginia MEDICAID 0112064000

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