Kotouc, Joshua T

Kotouc, Joshua T is an individual health care provider with primary practice located at 101 Stadium Dr , Morgantown WV 26506-7911. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kotouc, Joshua T can be contacted via phone (304) 598-4000.

Contact Information

Primary practice address
101 Stadium Dr Morgantown WV 26506-7911
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 26945 Alabama

Profile Details

NPI number 1861459026
LBN Legal business name Kotouc, Joshua T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Oct 28th, 2008 - 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 1861459026 NPPES
West Virginia Other P00231782 RAILROAD MEDICARE
West Virginia MEDICAID 051557034 RAILROAD MEDICARE
West Virginia MEDICAID 3810002340 RAILROAD MEDICARE

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