Mountain State Vascular, Inc.

LBN: Mountain State Vascular, Inc.
Mountain State Vascular, Inc. is an health care organization with primary practice located at 121 George Street , Beckley WV 25801. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Mountain State Vascular, Inc. can be contacted via phone (304) 250-0382, or through Whyte, Brian Roland via phone (304) 250-0382.

Contact Information

Primary practice address
121 George Street Beckley WV 25801
Phone: (304) 250-0382
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whyte, Brian Roland Doctor of Medicine (MD)
Phone: (304) 250-0382

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 22852 West Virginia

Profile Details

NPI number 1104318625
LBN Legal business name Mountain State Vascular, Inc.
DBA Doing business as
Authorized official Whyte, Brian Roland Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2018
Last updated May 22nd, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104318625 NPPES
West Virginia Other 1795 WV BOARD OF MEDICINE REGISTRATION
West Virginia Other 9ALVR WV BOARD OF MEDICINE REGISTRATION

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