Mace, Andrew H

Mace, Andrew H is an individual health care provider with primary practice located at 101 Stadium Dr , Morgantown WV 26506-7911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Mace, Andrew H can be contacted via phone (304) 598-4000.

Contact Information

Primary practice address
101 Stadium Dr Morgantown WV 26506-7911
Phone: (304) 598-4000
Fax: (304) 293-6963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 12312 West Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12312 West Virginia

Profile Details

NPI number 1700846953
LBN Legal business name Mace, Andrew H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700846953 NPPES
West Virginia MEDICAID 0123464000

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