Wilmoth, Philip Marc
Wilmoth, Philip Marc is an sole proprietor health care provider with primary practice located at 709 Morgantown Ave , Fairmont WV 26554. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Wilmoth, Philip Marc can be contacted via phone (304) 366-4721.Contact Information
Primary practice address
709 Morgantown Ave
Fairmont WV 26554
Phone: (304) 366-4721
Fax: (304) 366-4847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 78700 | West Virginia |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 78700 | West Virginia |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 78700 | West Virginia |
Profile Details
| NPI number | 1427011360 |
|---|---|
| LBN Legal business name | Wilmoth, Philip Marc |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Dec 17th, 2009 - about 16 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 | 1427011360 | NPPES |
| West Virginia | MEDICAID | 015096400 |
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