National Provider Identifier Database

CRAB ORCHARD MEDICAL ASSOC INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

CRAB ORCHARD MEDICAL ASSOC. INC.
1701 ROBERT C. BYRD DRIVE
CRAB ORCHARD, WV25827
Phone: 304-253-8336
Fax: 304-253-8337
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for CRAB ORCHARD MEDICAL ASSOC. INC.

NPI Number 1730378928
Legal business name
LBN
CRAB ORCHARD MEDICAL ASSOC. INC.
Authorized official MARIZA LIRIO - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/24/2007
Last updated 10/24/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 12066
  • WV Medicaid: 0038505000

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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