National Provider Identifier Database

COAL RIVER PRIMARY CARE AND WELLNESS CENTER LLC
Family


Contact Information

COAL RIVER PRIMARY CARE AND WELLNESS CENTER LLC
62 FORK CREEK RD
NELLIS, WV25142-9737
Phone: 304-833-0815
Fax: 304-833-0030
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Family Health 364SF0001X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for COAL RIVER PRIMARY CARE AND WELLNESS CENTER LLC

NPI Number 1487284451
Legal business name
LBN
COAL RIVER PRIMARY CARE AND WELLNESS CENTER LLC
Authorized official REBECCA BARKER - (SOLE OWNER; FNP-BC)
Entity Organization
Organization subpart No
Enumeration date 01/18/2020
Last updated 04/05/2022 - About 4 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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