Perez, Robert

Perez, Robert is an individual health care provider with primary practice located at 20 Hospital Dr , Logan WV 25601-3452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Perez, Robert can be contacted via phone (304) 831-1630.

Contact Information

Primary practice address
20 Hospital Dr Logan WV 25601-3452
Phone: (304) 831-1630
Fax: (304) 831-1634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20903 West Virginia

Profile Details

NPI number 1073578647
LBN Legal business name Perez, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1073578647 NPPES
West Virginia MEDICAID 3003748000

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