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
Phone: (304) 845-6645
Fax: (304) 845-6646
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295731412 | NPPES |
West Virginia | MEDICAID | 00997755000 | |
West Virginia | MEDICAID | 0926912 |
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