Fugate, Bryan

Fugate, Bryan is an sole proprietor health care provider with primary practice located at 6900 West Country Club Dr , Huntington WV 25705. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility, which is considered as his primary health care specialty. Fugate, Bryan can be contacted via phone (304) 733-1060.

Contact Information

Primary practice address
6900 West Country Club Dr Huntington WV 25705
Phone: (304) 733-1060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility 225XR0403X

Profile Details

NPI number 1174682074
LBN Legal business name Fugate, Bryan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 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 1174682074 NPPES
West Virginia MEDICAID 7502079000

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