Oliver, Ross Samuel

Oliver, Ross Samuel is an sole proprietor health care provider with primary practice located at 2335 Chesterfield Avenue, Suite 101, Charleston WV 25304-1066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Oliver, Ross Samuel can be contacted via phone (304) 344-3785.

Contact Information

Primary practice address
2335 Chesterfield Avenue, Suite 101 Charleston WV 25304-1066
Phone: (304) 344-3785
Fax: (304) 344-3765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 13925 West Virginia

Profile Details

NPI number 1053497453
LBN Legal business name Oliver, Ross Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated May 14th, 2012 - about 12 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 1053497453 NPPES
West Virginia Other 0216253040000 TRICARE
West Virginia Other 185112 TRICARE
West Virginia Other 340002703 TRICARE
West Virginia Other 001721031 TRICARE
West Virginia Other 4242731 TRICARE
West Virginia MEDICAID 0130039000 TRICARE
West Virginia Other 1393063 TRICARE
West Virginia Other 1508836 TRICARE
West Virginia Other 1002718509 TRICARE
West Virginia Other 221960 TRICARE

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