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Contact Information

CLINCH VALLEY PULMONOLOGY LLC
2951 WEST FRONT STREET
SUITE 1000
RICHLANDS, VA24641
 Phone: 276-964-6966
 Fax: 276-963-3690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CLINCH VALLEY PULMONOLOGY LLC · (Female)

NPI Number 1306835673
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2005
Last updated 08/28/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA Medicaid 1306835673
  • WV Medicaid 0210133000
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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