Mcdonough, Edward Barry
Mcdonough, Edward Barry is an individual health care provider with primary practice located at 1 Medical Center Drive , Morgantown WV 26506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mcdonough, Edward Barry can be contacted via phone (304) 598-4800.Contact Information
Primary practice address
1 Medical Center Drive
Morgantown WV 26506
Phone: (304) 598-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 036112730 | Illinois |
Profile Details
| NPI number | 1235107202 |
|---|---|
| LBN Legal business name | Mcdonough, Edward Barry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Apr 15th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235107202 | NPPES |
| Illinois | MEDICAID | 036112730 |
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