National Provider Identifier Database

FAIRMONT PHYSICIANS INC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

FAIRMONT PHYSICIANS INC
211 MARION SQUARE
FAIRMONT, WV26554
Phone: 304-367-0043
Fax: 304-367-9470
Website:
Specialty Taxonomy Code
* Urology 208800000X
Family Medicine 207Q00000X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for FAIRMONT PHYSICIANS INC

NPI Number 1790714228
Legal business name
LBN
FAIRMONT PHYSICIANS INC
Authorized official GEORGE BOYLES - (TREASURER)
Entity Organization
Organization subpart No
Enumeration date 06/30/2006
Last updated 03/17/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • WV Medicaid: 0009022000

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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