Mace, Guy Everett

Mace, Guy Everett is an individual health care provider with primary practice located at 333 Foundry St , New Martinsville WV 26155-1142. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Mace, Guy Everett can be contacted via phone (304) 455-2441.

Contact Information

Primary practice address
333 Foundry St New Martinsville WV 26155-1142
Phone: (304) 455-2441
Fax: (304) 455-3446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 8983 West Virginia

Profile Details

NPI number 1568644672
LBN Legal business name Mace, Guy Everett
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2007
Last updated Nov 30th, 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 1568644672 NPPES
West Virginia MEDICAID 3810010112

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