Teter, Donald Fred

Teter, Donald Fred is an individual health care provider with primary practice located at 4415 Maccorkle Ave Se , Charleston WV 25304-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Teter, Donald Fred can be contacted via phone (304) 926-1001.

Contact Information

Primary practice address
4415 Maccorkle Ave Se Charleston WV 25304-2505
Fax: (304) 926-1003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11631 West Virginia

Profile Details

NPI number 1841281961
LBN Legal business name Teter, Donald Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 17 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 1841281961 NPPES
West Virginia MEDICAID 3810000655

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