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Contact Information

SHAWN W STORM, DO
415 MORRIS STREET
SUITE 201
CHARLESTON, WV25301
 Phone: 304-388-1700
 Fax: 304-388-7755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SHAWN W STORM · (Male)

NPI # 1568653475
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/06/2007
Last updated 07/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 2351
  • NJ Medicaid 0151505
  • NJ Other 1737775 AETNA
  • NJ Other 010046003 AMERICHOICE
  • NJ Other 3431684000 AMERIHEALTH/KEYSTONE/IBC
  • NJ Other 5557737 CIGNA
  • NJ Other 3K7723 HEALTHNET
  • NJ Other 60033605 HORIZON NJ HEALTH
  • NJ Other P3855869 OXFORD
  • NJ Other 2810734 UNITED HEALTHCARE
Hospital affiliation(s)
  • MILLCREEK COMMUNITY HOSPITAL - (Acute Care)
    5515 PEACH STREET
    ERIE, PA 16509
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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