Minardi, Lawrence Matthew
Minardi, Lawrence Matthew is an sole proprietor health care provider with primary practice located at 500 Donnally St Bldg B North, Charleston WV 25301-1648. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Minardi, Lawrence Matthew can be contacted via phone (304) 343-6219.Contact Information
Primary practice address
500 Donnally St Bldg B North
Charleston WV 25301-1648
Phone: (304) 343-6219
Fax: (304) 343-1423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 11596 | West Virginia |
Profile Details
| NPI number | 1174508774 |
|---|---|
| LBN Legal business name | Minardi, Lawrence Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Oct 27th, 2016 - about 8 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 | 1174508774 | NPPES |
| West Virginia | MEDICAID | 0096789000 | |
| West Virginia | Other | MI9220052 |
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