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Contact Information

WV SPINE AND PAIN CLINIC
340 STATE ST
MADISON, WV25130-1365
 Phone: 304-561-7879
 Fax: 304-307-6619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for WV SPINE AND PAIN CLINIC

NPI Number 1407079551
LBN Legal business name WV SPINE AND PAIN CLINIC
Authorized official WEIXING GUO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WV License # 20962
WV Medicaid 1841070000
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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