Main Street Medical Pllc

LBN: Main Street Medical Pllc
Main Street Medical Pllc is an health care organization with primary practice located at 650 Main St , Barboursville WV 25504-1439. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Main Street Medical Pllc can be contacted via phone (304) 733-6484, or through Walker, Robert B via phone (304) 733-6484.

Contact Information

Primary practice address
650 Main St Barboursville WV 25504-1439
Phone: (304) 733-6484
Fax: (304) 733-6486
Website:
Map and Directions
Authorized official contact:
Name: Walker, Robert B Doctor of Medicine (MD)
Phone: (304) 733-6484

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10652 West Virginia

Profile Details

NPI number 1801125752
LBN Legal business name Main Street Medical Pllc
DBA Doing business as
Authorized official Walker, Robert B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2009
Last updated Dec 23rd, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801125752 NPPES
West Virginia MEDICAID 0056287000

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