Wetmore, Stephen J

Wetmore, Stephen J is an individual health care provider with primary practice located at 1 Stadium Drive , Morgantown WV 26506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Wetmore, Stephen J can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Stadium Drive Morgantown WV 26506
Phone: (304) 598-4800
Fax: (304) 293-6963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 15615 West Virginia
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 15615 West Virginia

Profile Details

NPI number 1780789164
LBN Legal business name Wetmore, Stephen J
Credentials M.D., MBS,FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
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 1780789164 NPPES
West Virginia MEDICAID 0100375000

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