Lifeline Pediatrics Inc in New Martinsville - Specialist
Lifeline Pediatrics Inc - NPI 1598896193
Lifeline Pediatrics Inc is a Specialist in New Martinsville, . Lifeline Pediatrics Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lifeline Pediatrics Inc is 1598896193. The last update date is 2011-08-19.
Lifeline Pediatrics Inc's current location address is 100 Paducah Drive, New Martinsville, . You can contact this provider via phone number 3044553611. The mailing address for Lifeline Pediatrics Inc is 100 Paducah Drive, New Martinsville, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifeline Pediatrics Inc |
|---|---|
| Address | 100 Paducah Drive, New Martinsville, |
| Phone Number | 3044553611 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ekanem M Ibanga |
| Credentials | M.D. |
| Telephone Number | 3044553611 |
NPI Number Detail
| NPI Number | 1598896193 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2011-08-19 |
Provider Mailing Address Detail
| Address | 100 Paducah Drive |
|---|---|
| City | New Martinsville |
| State | (WV) |
| Post Code | 26155 |
| Phone Number | 3044553611 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 19922 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810006383 | WV | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Lifeline Pediatrics Inc by the Centers for Medicare & Medicaid Services?
The Lifeline Pediatrics Inc has been issued the NPI (National Provider Identifier) 1598896193. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lifeline Pediatrics Inc is physically located?
The Lifeline Pediatrics Inc is physically situated at the following address: 100 Paducah Drive, New Martinsville, WV, 26155.
What is Lifeline Pediatrics Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lifeline Pediatrics Inc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When did the Lifeline Pediatrics Inc receive its 1598896193?
The Lifeline Pediatrics Inc was issued its 1598896193 on 2007-03-08, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Lifeline Pediatrics Inc last refreshed?
The information related to the Lifeline Pediatrics Inc, including its address, specialty, and other relevant details, was last updated on 2011-08-19.
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