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Contact Information

THRUSH & CLARK ALLERGISTS PLLC
3411A NOYES AVENUE SE
CHARLESTON, WV25304
 Phone: 304-344-2459
 Fax: 304-345-1336
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THRUSH CLARK ALLERGISTS PLLC · (Female)

NPI # 1225118946
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2006
Last updated 10/29/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 11974
  • WV Medicaid 3810006069
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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