Judy, David
Judy, David is an sole proprietor health care provider with primary practice located at 4610 Kanawha Ave Sw Suite 302, Charleston WV 25309-1320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Judy, David can be contacted via phone (304) 925-7546.Contact Information
Primary practice address
4610 Kanawha Ave Sw Suite 302
Charleston WV 25309-1320
Phone: (304) 925-7546
Fax: (681) 205-8369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2007-00740 | North Carolina |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS 11120 | Florida |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2596 | West Virginia |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 2596 | West Virginia |
Profile Details
| NPI number | 1619144433 |
|---|---|
| LBN Legal business name | Judy, David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2008 |
| Last updated | Oct 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619144433 | NPPES |
| West Virginia | MEDICAID | 3810023193 | |
| West Virginia | Other | 5679351 | |
| West Virginia | Other | 1619144433 | |
| West Virginia | Other | 1619144433 | |
| West Virginia | Other | 1619144433 | |
| West Virginia | Other | 1619144433 | |
| West Virginia | Other | 2707397 |
Popular Providers
-
Mafong, Erick Alfonso
319 F St Ste 102, Chula Vista CA 91910-2666 -
Echt, Audrey F
10931 Raven Ridge Rd Ste 101, Raleigh NC 27614-6499 -
Cardenas, Ana Amparo
3400 Calloway Dr Ste 200, Bakersfield CA 93312-2513 -
Pinto, Frank John
761 Main Ave Suite 102, Norwalk CT 06851-1080 -
Connolly, Adrian L
101 Old Short Hills Rd Ste 503, West Orange NJ 07052-1023 -
Lim, Jane D
421 Chestnut St , Evansville IN 47713-1227 -
Clayton, Anna S
719 Thompson Ln Ste 26300 , Nashville TN 37204-4679 -
Huether, Michael J.
5980 N La Cholla Blvd , Tucson AZ 85741-3535