Stake, Terry L

Stake, Terry L is an individual health care provider with primary practice located at 1 Medical Park , Wheeling WV 26003-6379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stake, Terry L can be contacted via phone (304) 243-3270.

Contact Information

Primary practice address
1 Medical Park Wheeling WV 26003-6379
Phone: (304) 243-3270
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 14313 West Virginia

Profile Details

NPI number 1023085552
LBN Legal business name Stake, Terry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 8th, 2011 - about 13 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 1023085552 NPPES
West Virginia Other 300117903 RAILROAD MEDICARE
West Virginia MEDICAID 0117198000 RAILROAD MEDICARE
West Virginia Other 000864293 RAILROAD MEDICARE
West Virginia Other 300040909 RAILROAD MEDICARE
West Virginia Other 14313A RAILROAD MEDICARE
West Virginia MEDICAID 0222011 RAILROAD MEDICARE

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