Prescott, Gordon F

Prescott, Gordon F is an individual health care provider with primary practice located at 508 New Hope Rd Ste 7 , Princeton WV 24740. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Prescott, Gordon F can be contacted via phone (304) 431-7200.

Contact Information

Primary practice address
508 New Hope Rd Ste 7 Princeton WV 24740
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10242 West Virginia

Profile Details

NPI number 1215042593
LBN Legal business name Prescott, Gordon F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Sep 25th, 2018 - about 7 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 1215042593 NPPES
West Virginia MEDICAID 0080053000

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