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MORGANTOWN ENT CLINIC INC NPI 1184700304


NPI Information

NPI: 1184700304
Provider Name: MORGANTOWN ENT CLINIC INC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
1188 PINEVIEW DR
MORGANTOWN, WV
ZIP 26505
Phone: (304) 599-3959
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MORGANTOWN ENT CLINIC INC is an allergy immunology in Morgantown, WV. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. MORGANTOWN ENT CLINIC INC NPI is 1184700304. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1188 PINEVIEW DR
MORGANTOWN, WV
ZIP 26505
Phone: (304) 599-3959
Fax: (304) 599-1719

The provider's authorized official is George E Snider .
The authorized official title is President and has the following contact phone number (304) 599-3959.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyYes
2207Y00000XOtolaryngologyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10008866000MEDICAIDWEST VIRGINIA
20095311OTHERWEST VIRGINIAFUNDS UMWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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