Endicott, James William

Endicott, James William is an sole proprietor health care provider with primary practice located at 108 Mingo St , Kermit WV 25674-0430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Endicott, James William can be contacted via phone (304) 393-4303.

Contact Information

Primary practice address
108 Mingo St Kermit WV 25674-0430
Phone: (304) 393-4303
Fax: (304) 393-3254
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14258 West Virginia

Profile Details

NPI number 1790782753
LBN Legal business name Endicott, James William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2005
Last updated Feb 2nd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790782753 NPPES
West Virginia MEDICAID 0051733000

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