Le, Dung S

Le, Dung S is an individual health care provider with primary practice located at 401 Wheeling Ave , Glen Dale WV 26038-1536. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Le, Dung S can be contacted via phone (304) 845-6645.

Contact Information

Primary practice address
401 Wheeling Ave Glen Dale WV 26038-1536
Fax: (304) 845-6646
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00278 West Virginia

Profile Details

NPI number 1295731412
LBN Legal business name Le, Dung S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Oct 23rd, 2007 - about 18 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 1295731412 NPPES
West Virginia MEDICAID 00997755000
West Virginia MEDICAID 0926912

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