National Provider Identifier Database

ADVANCED DIABETES ENDOCRINE CENTER
Endocrinology, Diabetes & Metabolism

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.


Contact Information

ADVANCED DIABETES & ENDOCRINE CENTER
527 MEDICAL PARK DRIVE
SUITE 103
BRIDGEPORT, WV26330-9009
Phone: 304-933-3864
Fax: 304-933-3867
Website:
Specialty Taxonomy Code
* Endocrinology, Diabetes & Metabolism 207RE0101X

* Indicates primary specialty

NPI Profile & details for ADVANCED DIABETES & ENDOCRINE CENTER

NPI Number 1659524635
Legal business name
LBN
ADVANCED DIABETES & ENDOCRINE CENTER
Authorized official SYED HAQ - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/04/2008
Last updated 08/12/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 19842
  • WV Other: 19842 STATE LICENSE

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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