Mcbride, Lisa Anne

Mcbride, Lisa Anne is an individual health care provider with primary practice located at 9000 Coombs Farm Rd Ste 102 , Morgantown WV 26508-1150. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcbride, Lisa Anne can be contacted via phone (304) 599-8000.

Contact Information

Primary practice address
9000 Coombs Farm Rd Ste 102 Morgantown WV 26508-1150
Fax: (304) 599-8003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22287 West Virginia

Profile Details

NPI number 1447295795
LBN Legal business name Mcbride, Lisa Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Apr 1st, 2020 - about 4 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 1447295795 NPPES
West Virginia MEDICAID 3810006388

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