Martinsburg Internal Medicine Assoc Inc
LBN: Martinsburg Internal Medicine Assoc Inc
Martinsburg Internal Medicine Assoc Inc is an health care organization with primary practice located at 1002 Sushruta Dr , Martinsburg WV 25401-8897. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Martinsburg Internal Medicine Assoc Inc can be contacted via phone (304) 263-0913, or through Jalazo, Jesse Brian via phone (304) 263-0913.
Contact Information
Primary practice address
1002 Sushruta Dr
Martinsburg WV 25401-8897
Phone: (304) 263-0913
Fax: (304) 267-2917
Website:
Authorized official contact:
Name: Jalazo, Jesse Brian Doctor of Medicine (MD)
Phone: (304) 263-0913
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | West Virginia |
Profile Details
| NPI number | 1558323006 |
|---|---|
| LBN Legal business name | Martinsburg Internal Medicine Assoc Inc |
| DBA Doing business as | |
| Authorized official | Jalazo, Jesse Brian Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558323006 | NPPES |
| West Virginia | MEDICAID | 0008030000 |
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