Robert J Fanning, Jr
LBN: Robert J Fanning, Jr
Robert J Fanning, Jr is an health care organization with primary practice located at 1307 Mount De Chantal Rd , Wheeling WV 26003-6334. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Other Service Providers / Specialist is the primary health care specialty.
Robert J Fanning, Jr can be contacted via phone (304) 242-1273, or through Fanning, Robert J via phone (304) 242-1273.
Contact Information
Primary practice address
1307 Mount De Chantal Rd
Wheeling WV 26003-6334
Phone: (304) 242-1273
Fax: (304) 242-1422
Website:
Authorized official contact:
Name: Fanning, Robert J Doctor of Osteopathy (DO)
Phone: (304) 242-1273
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1431 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 46155 | West Virginia |
Profile Details
| NPI number | 1376644625 |
|---|---|
| LBN Legal business name | Robert J Fanning, Jr |
| DBA Doing business as | |
| Authorized official | Fanning, Robert J Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Nov 25th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376644625 | NPPES |
| West Virginia | MEDICAID | 6001141 |
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