Lilly, Josiah Kenneth
Lilly, Josiah Kenneth is an individual health care provider with primary practice located at 4001 Virginia Ave Se , Charleston WV 25304-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Lilly, Josiah Kenneth can be contacted via phone (304) 925-2922.Contact Information
Primary practice address
4001 Virginia Ave Se
Charleston WV 25304-1603
Phone: (304) 925-2922
Fax: (304) 926-8009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 11322 | West Virginia |
Profile Details
| NPI number | 1376507566 |
|---|---|
| LBN Legal business name | Lilly, Josiah Kenneth |
| Credentials | MD MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Oct 24th, 2007 - about 17 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 | 1376507566 | NPPES |
| West Virginia | MEDICAID | 0201994 |
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