Fairmont Neurology Clinic, Pllc
LBN: Fairmont Neurology Clinic, Pllc
Fairmont Neurology Clinic, Pllc is an health care organization with primary practice located at 1188 Pineview Dr Ste 100 , Morgantown WV 26505-2712. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty.
Fairmont Neurology Clinic, Pllc can be contacted via phone (681) 285-8755, or through Azzouz, Mouhannad via phone (304) 598-7000.
Contact Information
Primary practice address
1188 Pineview Dr Ste 100
Morgantown WV 26505-2712
Phone: (681) 285-8755
Fax: (304) 825-6577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | WV20408 | West Virginia |
Profile Details
| NPI number | 1609974641 |
|---|---|
| LBN Legal business name | Fairmont Neurology Clinic, Pllc |
| DBA Doing business as | |
| Authorized official | Azzouz, Mouhannad Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | May 31st, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609974641 | NPPES |
| West Virginia | Other | WV20408 | THE HEALTH PLAN |
| West Virginia | Other | 7787352 | THE HEALTH PLAN |
| West Virginia | Other | 001721746 | THE HEALTH PLAN |
| West Virginia | MEDICAID | 1807858000 | THE HEALTH PLAN |
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