King, Janelle Marie

King, Janelle Marie is an individual health care provider with primary practice located at 800 Grand Central Mall Suite 3, Vienna WV 26105-4100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. King, Janelle Marie can be contacted via phone (304) 865-0555.

Contact Information

Primary practice address
800 Grand Central Mall Suite 3 Vienna WV 26105-4100
Phone: (304) 865-0555
Fax: (304) 865-0556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25241 West Virginia

Profile Details

NPI number 1386879138
LBN Legal business name King, Janelle Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2009
Last updated Jan 23rd, 2015 - about 9 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 1386879138 NPPES
West Virginia MEDICAID 3810026009

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