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Contact Information

CRAB ORCHARD MEDICAL ASSOC. INC.
1701 ROBERT C. BYRD DRIVE
CRAB ORCHARD, WV25827
 Phone: 304-253-8336
 Fax: 304-253-8337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CRAB ORCHARD MEDICAL ASSOC INC · (Female)

NPI # 1730378928
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2007
Last updated 10/24/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 12066
  • WV Medicaid 0038505000
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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