National Provider Identifier Database

INTEGRATED HEALTH CARE PROVIDERS INC
Pediatric Surgery

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.


Contact Information

INTEGRATED HEALTH CARE PROVIDERS, INC.
830 PENNSYLVANIA AVE
SUITE 305
CHARLESTON, WV25302-3302
Phone: 304-388-1770
Fax: 304-388-1775
Website:
Specialty Taxonomy Code
* Pediatric Surgery 2086S0120X

* Indicates primary specialty

NPI Profile & details for INTEGRATED HEALTH CARE PROVIDERS, INC.

NPI Number 1881031557
Legal business name
LBN
INTEGRATED HEALTH CARE PROVIDERS, INC.
Authorized official JEFFREY GOODE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/04/2013
Last updated 06/04/2013 - About 13 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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