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Contact Information

DIABETES, ENDOCRINOLOGY & LIPIDOLOGY CENTER, INC.
176 HEALTH CARE LN
SUITE B
MARTINSBURG, WV25401-4010
 Phone: 304-260-1060
 Fax: 304-260-1062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DIABETES, ENDOCRINOLOGY & LIPIDOLOGY CENTER, INC.

NPI Number 1275810830
LBN Legal business name DIABETES, ENDOCRINOLOGY & LIPIDOLOGY CENTER, INC.
Authorized official PHILIP RYAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2011
Last updated 02/07/2012 - About 14 years ago
Identifiers
WV License # 21393
WV Medicaid 3810022262
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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