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Contact Information

MORGANTOWN ENT CLINIC INC
1188 PINEVIEW DR
MORGANTOWN, WV26505
 Phone: 304-599-3959
 Fax: 304-599-1719
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MORGANTOWN ENT CLINIC INC · (Female)

NPI # 1184700304
Status Active
Credentials
Entity Individual
Enumeration date 10/31/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • WV Medicaid 0008866000
  • WV Other 0095311 FUNDS UMWA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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