JOSEPH J DEPETRO III MD PROFESSIONAL CORPORATION NPI 1245380831

NPI Information

NPI: 1245380831
Provider Name: JOSEPH J DEPETRO III MD PROFESSIONAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
69 8TH ST
WELLSBURG, WV
ZIP 26070
Phone: (304) 737-0321
Get Directions

JOSEPH J DEPETRO III MD PROFESSIONAL CORPORATION is a family medicine in Wellsburg, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JOSEPH J DEPETRO III MD PROFESSIONAL CORPORATION NPI is 1245380831. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

69 8TH ST
WELLSBURG, WV
ZIP 26070-605
Phone: (304) 737-0321
Fax: (304) 737-2979

The provider's authorized official is Joseph J Depetro .
The authorized official title is President and has the following contact phone number (304) 737-0321.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/25/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine			WEST VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9324031	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA

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: 5/5/2024

NPI Synchronization or Removal

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