Macaulay, Brian Wayne

Macaulay, Brian Wayne is an individual health care provider with primary practice located at 116 Hills Plz , Charleston WV 25387-2438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Macaulay, Brian Wayne can be contacted via phone (304) 720-4466.

Contact Information

Primary practice address
116 Hills Plz Charleston WV 25387-2438
Phone: (304) 720-4466
Fax: (304) 720-4815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14811 West Virginia

Profile Details

NPI number 1750382297
LBN Legal business name Macaulay, Brian Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 18th, 2018 - about 6 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 1750382297 NPPES
Other 14811 HEALTH PLAN OF UPPER OH V
Other 55035705700 HEALTH PLAN OF UPPER OH V
MEDICAID 0052239000 HEALTH PLAN OF UPPER OH V
Other 001718160 HEALTH PLAN OF UPPER OH V
MEDICAID 2043621 HEALTH PLAN OF UPPER OH V

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