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Contact Information

PEDIATRIC LUNG & ASTHMA CENTER, PLLC
1284 SUNCREST TOWN CENTRE DR
MORGANTOWN, WV26505-1828
 Phone: 304-284-8999
 Fax: 304-284-9777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Community Based Residential Treatment Facility, Mental Illness

320800000X
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC LUNG ASTHMA CENTER PLLC · (Female)

NPI Number 1740685932
Status Active
Credentials
Entity Individual
Enumeration date 10/30/2014
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 22524
  • WY Medicaid 3910006278
  • WV Other 162849 UPIN
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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