Marra, Dante Anthony

Marra, Dante Anthony is an sole proprietor health care provider with primary practice located at 300 Wharton Cir Ste 130 , Triadelphia WV 26059-1293. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Suppliers / Non-Pharmacy Dispensing Site, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Marra, Dante Anthony can be contacted via phone (304) 242-8042.

Contact Information

Primary practice address
300 Wharton Cir Ste 130 Triadelphia WV 26059-1293
Phone: (304) 242-8042
Fax: (304) 242-8962
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 19164 West Virginia
Suppliers / Non-Pharmacy Dispensing Site 332900000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 19164 West Virginia

Profile Details

NPI number 1295807725
LBN Legal business name Marra, Dante Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Apr 5th, 2024 - about 5 months 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 1295807725 NPPES
West Virginia MEDICAID 0098600000
West Virginia MEDICAID 2015269

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