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Contact Information

FAIRMONT PHYSICIANS INC
211 MARION SQUARE
FAIRMONT, WV26554
 Phone: 304-367-0043
 Fax: 304-367-9470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for FAIRMONT PHYSICIANS INC · (Female)

NPI # 1790714228
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2006
Last updated 03/17/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV Medicaid 0009022000
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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