Mountainstate Infectious Disease, Pllc

LBN: Mountainstate Infectious Disease, Pllc
Mountainstate Infectious Disease, Pllc is an health care organization with primary practice located at 215 W Main St Ste B , Bridgeport WV 26330-1888. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Mountainstate Infectious Disease, Pllc can be contacted via phone (301) 641-1822, or through Delaportas, Dino via phone (304) 641-1822.

Contact Information

Primary practice address
215 W Main St Ste B Bridgeport WV 26330-1888
Phone: (301) 641-1822
Fax: (304) 250-9933
Website:
Map and Directions
Authorized official contact:
Name: Delaportas, Dino Doctor of Medicine (MD)
Phone: (304) 641-1822

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1114491792
LBN Legal business name Mountainstate Infectious Disease, Pllc
DBA Doing business as
Authorized official Delaportas, Dino Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2019
Last updated Jan 16th, 2019 - about 5 years ago

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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