Teleron, Victorino Rodriguez

Teleron, Victorino Rodriguez is an sole proprietor health care provider with primary practice located at 116 W 3Rd Ave , Williamson WV 25661-3108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Teleron, Victorino Rodriguez can be contacted via phone (304) 236-5911.

Contact Information

Primary practice address
116 W 3Rd Ave Williamson WV 25661-3108
Fax: (304) 236-5942
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 12967 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12967 West Virginia

Profile Details

NPI number 1245273879
LBN Legal business name Teleron, Victorino Rodriguez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Jun 23rd, 2014 - about 10 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 1245273879 NPPES
Kentucky MEDICAID 64080062

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