National Provider Identifier Database

M I DABABNAH MD INC
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

M I DABABNAH MD INC
856 S. RITTER DR.
BEAVER, WV25813
Phone: 304-255-4845
Fax: 304-255-4845
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for M I DABABNAH MD INC

NPI Number 1457476525
Legal business name
LBN
M I DABABNAH MD INC
Authorized official MOUSA DABABNAH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/20/2007
Last updated 06/21/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 10670
  • WI Medicaid: 3810009229
  • WV Other: 8750169013 ME
  • WV Other: 0134848 UMWA

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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