Morrello, Michael Dominick

Morrello, Michael Dominick is an sole proprietor health care provider with primary practice located at 846 Northside Dr Ste 15 , Summersville WV 26651-2036. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Morrello, Michael Dominick can be contacted via phone (304) 872-8995.

Contact Information

Primary practice address
846 Northside Dr Ste 15 Summersville WV 26651-2036
Fax: (304) 872-8997
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 683 West Virginia

Profile Details

NPI number 1659542041
LBN Legal business name Morrello, Michael Dominick
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2008
Last updated Mar 17th, 2018 - about 7 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 1659542041 NPPES
West Virginia MEDICAID 0164780000

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