Wall, Haven N
Wall, Haven N is an individual health care provider with primary practice located at Rr 2 Box 171C , Lewisburg WV 24901-9318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wall, Haven N can be contacted via phone (304) 645-6083.Contact Information
Primary practice address
Rr 2 Box 171C
Lewisburg WV 24901-9318
Phone: (304) 645-6083
Fax: (304) 645-1439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 12141 | West Virginia |
Profile Details
| NPI number | 1013912187 |
|---|---|
| LBN Legal business name | Wall, Haven N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Dec 14th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013912187 | NPPES |
| West Virginia | MEDICAID | 0087282000 |
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