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Contact Information

CURTIS B PACK, DO
503 ROOSEVELT BLVD
ELEANOR, WV25070
 Phone: 304-586-0001
 Fax: 304-586-0079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CURTIS B PACK · (Male)

NPI # 1013016849
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/21/2006
Last updated 10/15/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 1450
  • OH Medicaid 0245176
  • WV Medicaid 0046893000
  • WA Other 550737600 AETNA
  • WV Other 001721667 BCBS
  • WV Other 550737600 COMMERICAL INSURANCE
  • WV Other 385750 FEDERAL BLACK LUNG
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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