MILEGROUND PHYSICIANS PLLC NPI 1457499519

NPI Information

NPI: 1457499519
Provider Name: MILEGROUND PHYSICIANS, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1526 MILEGROUND RD
MORGANTOWN, WV
ZIP 26505
Phone: (304) 292-4996
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MILEGROUND PHYSICIANS, PLLC is a general practice in Morgantown, WV. MILEGROUND PHYSICIANS, PLLC NPI is 1457499519. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1526 MILEGROUND RD
MORGANTOWN, WV
ZIP 26505-745
Phone: (304) 292-4996
Fax: (304) 292-9578

The provider's authorized official is Norval Leroy Rasmussen .
The authorized official title is Owner and has the following contact phone number (304) 292-4996.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 10/16/2007.

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	208D00000X	General Practice		11609	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	MI9312691	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA	GROUP #

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: 11/14/2023

NPI Synchronization or Removal

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