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Contact Information

LARRY L FITZWATER, PA-C
#1 HEALTHCARE DRIVE
PHILIPPI, WV26416
 Phone: 304-457-1760
 Fax: 304-457-1516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LARRY L FITZWATER · (Male)

NPI # 1528116662
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 318
  • WV Other 318 LICENSE
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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