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Contact Information

HEATHER J EARL, PAC
227 MEDICAL PARK DR STE 103
BRIDGEPORT, WV26330-8421
 Phone: 681-342-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HEATHER J EARL · (Female)

NPI # 1003171323
Status Active
Credentials PAC
Entity Individual
Enumeration date 07/12/2012
Last updated 04/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 1659
Hospital affiliation(s)
  • UNITED HOSPITAL CENTER - (Acute Care)
    327 MEDICAL PARK DRIVE
    BRIDGEPORT, WV 26330
  • WEST VIRGINIA UNIVERSITY HOSPITALS - (Acute Care)
    MEDICAL CENTER DRIVE
    MORGANTOWN, WV 26506
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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