Persily, Eric M
Persily, Eric M is an individual health care provider with primary practice located at 3508 Staunton Ave Se , Charleston WV 25304-1477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Persily, Eric M can be contacted via phone (304) 925-4086.Contact Information
Primary practice address
3508 Staunton Ave Se
Charleston WV 25304-1477
Phone: (304) 925-4086
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 17359 | West Virginia |
Profile Details
| NPI number | 1376543405 |
|---|---|
| LBN Legal business name | Persily, Eric M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Nov 15th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376543405 | NPPES |
| West Virginia | MEDICAID | 0060418000 |
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