National Provider Identifier Database

APPALACHIANWELLNESS CLINIC INC
Addiction Medicine


Contact Information

APPALACHIANWELLNESS CLINIC INC
425 STANAFORD RD
BECKLEY, WV25801-3145
Phone: 304-222-5817
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 207QA0401X
Family Medicine 207Q00000X
Medical 363AM0700X

* Indicates primary specialty

NPI Profile & details for APPALACHIANWELLNESS CLINIC INC

NPI Number 1427563238
Legal business name
LBN
APPALACHIANWELLNESS CLINIC INC
Authorized official MARYAM RANA - (PHYSICIAN ASSISTANT)
Entity Organization
Organization subpart No
Enumeration date 12/04/2017
Last updated 03/24/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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