Fidler, Donald C

Fidler, Donald C is an individual health care provider with primary practice located at 930 Chestnut Ridge Rd , Morgantown WV 26505-2807. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Fidler, Donald C can be contacted via phone (304) 598-4214.

Contact Information

Primary practice address
930 Chestnut Ridge Rd Morgantown WV 26505-2807
Fax: (304) 293-6963
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 15340 West Virginia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 15340 West Virginia

Profile Details

NPI number 1871552802
LBN Legal business name Fidler, Donald C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 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 1871552802 NPPES
West Virginia MEDICAID 0114580000

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