Tellers, John G

Tellers, John G is an sole proprietor health care provider with primary practice located at 40 Medical Park Suite 500, Wheeling WV 26003-6392. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tellers, John G can be contacted via phone (304) 242-9260.

Contact Information

Primary practice address
40 Medical Park Suite 500 Wheeling WV 26003-6392
Fax: (304) 242-9484
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10496 West Virginia

Profile Details

NPI number 1881634889
LBN Legal business name Tellers, John G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Aug 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881634889 NPPES
West Virginia MEDICAID 0091065000
West Virginia MEDICAID 0508838

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