Heywood, Samuel Greg

Heywood, Samuel Greg is an individual health care provider with primary practice located at 1003 Oakhurst Dr , Charleston WV 25314-2044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Heywood, Samuel Greg can be contacted via phone (304) 345-4525.

Contact Information

Primary practice address
1003 Oakhurst Dr Charleston WV 25314-2044
Fax: (304) 345-4527
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20012 West Virginia

Profile Details

NPI number 1780606731
LBN Legal business name Heywood, Samuel Greg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 1st, 2014 - about 11 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 1780606731 NPPES
West Virginia MEDICAID 1802068000
West Virginia Other 001717320
West Virginia Other 550691297
West Virginia Other 245048
West Virginia Other 550691297
West Virginia Other 7672206
West Virginia Other 550691297
West Virginia Other 550691297
West Virginia Other 550691297
West Virginia Other 550691297

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