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Contact Information

AUSTIN D LILLY
118 PEBBLESTONE DR
BECKLEY, WV25801-9524
 Phone: 304-237-4836
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for AUSTIN D LILLY · (Male)

NPI # 1609299312
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2014
Last updated 01/31/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # F072423
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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