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Contact Information

AMY B MACSPARRAN, PAC
300 CORPORATE CENTER DRIVE
SCOTT DEPOT, WV25560
 Phone: 304-691-6800
 Fax: 304-691-6751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMY B MACSPARRAN · (Female)

NPI Number 1558414946
Status Active
Credentials PAC
Entity Individual
Enumeration date 01/19/2007
Last updated 09/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0110002685
  • WV License # 1783
  • WV Medicaid 1558414946
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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