National Provider Identifier Database

PEDIATRIC LUNG ASTHMA CENTER PLLC
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

PEDIATRIC LUNG & ASTHMA CENTER, PLLC
1284 SUNCREST TOWN CENTRE DR
MORGANTOWN, WV26505-1828
Phone: 304-284-8999
Fax: 304-284-9777
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Community Based Residential Treatment Facility, Mental Illness 320800000X
Pediatric Pulmonology 2080P0214X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC LUNG & ASTHMA CENTER, PLLC

NPI Number 1740685932
Legal business name
LBN
PEDIATRIC LUNG & ASTHMA CENTER, PLLC
Authorized official TALIA SOTOMAYOR VALENZUELA - (PEDIATRIC PULMONOLOGIST/OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/30/2014
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 22524
  • WY Medicaid: 3910006278
  • WV Other: 162849 UPIN

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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