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Contact Information

MORGANTOWN OBSTETRIC AND GYNECOLOGY, PLLC
1191 PINEVIEW DR STE H
MORGANTOWN, WV26505-2778
 Phone: 304-212-5620
 Fax: 304-241-4645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for MORGANTOWN OBSTETRIC AND GYNECOLOGY PLLC · (Female)

NPI # 1003205402
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2015
Last updated 11/09/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 17237
  • WV License # 50130
  • WV Medicaid 4101771
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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