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Contact Information

PREMIER ANESTHESIA OF FAIRMONT, WV, A DIVISION OF PREMIER ANESTHESIA
1325 LOCUST AVE
FAIRMONT, WV26554-1435
 Phone: 304-367-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for PREMIER ANESTHESIA OF FAIRMONT WV A DIVISION OF PREMIER ANESTHESIA · (Female)

NPI # 1154595031
Status Active
Credentials
Entity Individual
Enumeration date 04/22/2008
Last updated 09/24/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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