Rada, William Alan

Rada, William Alan is an sole proprietor health care provider with primary practice located at 4202 Maccorkle Ave Se , Charleston WV 25304-2502. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rada, William Alan can be contacted via phone (304) 925-4761.

Contact Information

Primary practice address
4202 Maccorkle Ave Se Charleston WV 25304-2502
Phone: (304) 925-4761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 774-OD West Virginia

Profile Details

NPI number 1790885655
LBN Legal business name Rada, William Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Nov 10th, 2014 - about 11 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 1790885655 NPPES
West Virginia Other 001720471 BLUE CROSS BLUE SHIELD
West Virginia Other 4320198 BLUE CROSS BLUE SHIELD
West Virginia MEDICAID 0149325000 BLUE CROSS BLUE SHIELD
West Virginia Other 0621280001 BLUE CROSS BLUE SHIELD

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