Princesa, Gerardo R
Princesa, Gerardo R is an individual health care provider with primary practice located at 200 Hospital Dr , Spencer WV 25276-1050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Princesa, Gerardo R can be contacted via phone (304) 927-6844.Contact Information
Primary practice address
200 Hospital Dr
Spencer WV 25276-1050
Phone: (304) 927-6844
Fax: (304) 927-6259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 21390 | West Virginia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 21390 | West Virginia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A101856 | California |
Profile Details
| NPI number | 1609824895 |
|---|---|
| LBN Legal business name | Princesa, Gerardo R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Sep 20th, 2010 - about 15 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 | 1609824895 | NPPES |
| West Virginia | MEDICAID | 3004963000 |
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