Vasicek, Richard E

Vasicek, Richard E is an sole proprietor health care provider with primary practice located at 177 Middletown Rd Ste 1 , Fairmont WV 26554-8254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vasicek, Richard E can be contacted via phone (304) 363-6600.

Contact Information

Primary practice address
177 Middletown Rd Ste 1 Fairmont WV 26554-8254
Phone: (304) 363-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1552 West Virginia

Profile Details

NPI number 1316037146
LBN Legal business name Vasicek, Richard E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Sep 19th, 2022 - about 3 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 1316037146 NPPES
Other 000558950 BC
Other 0010879001 BC
MEDICAID 0047267000 BC

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