Jamora, Ismael Ortego

Jamora, Ismael Ortego is an individual health care provider with primary practice located at 2520 Valley Dr Suite # 116, Pt Pleasant WV 25550-2031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jamora, Ismael Ortego can be contacted via phone (304) 675-5188.

Contact Information

Primary practice address
2520 Valley Dr Suite # 116 Pt Pleasant WV 25550-2031
Phone: (304) 675-5188
Fax: (304) 675-3811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 10222 West Virginia

Profile Details

NPI number 1033217914
LBN Legal business name Jamora, Ismael Ortego
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Dec 10th, 2009 - about 16 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 1033217914 NPPES
West Virginia Other 000000504 BCBS
West Virginia MEDICAID 0076037000 BCBS
West Virginia MEDICAID 0222664 BCBS
West Virginia Other 550737600 BCBS

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