Mountain State Ent & Facial Plastic Surgery, Inc in Beckley - Medical Specialty
Mountain State Ent & Facial Plastic Surgery, Inc - NPI 1982604997
Mountain State Ent & Facial Plastic Surgery, Inc is a Medical Specialty in Beckley, . Mountain State Ent & Facial Plastic Surgery, Inc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Mountain State Ent & Facial Plastic Surgery, Inc is 1982604997. The last update date is 2023-12-04.
Mountain State Ent & Facial Plastic Surgery, Inc's current location address is 86 Brookshire Ln, Beckley, . You can contact this provider via phone number 3042552341 and fax number 3042552343. The mailing address for Mountain State Ent & Facial Plastic Surgery, Inc is 86 Brookshire Ln, Beckley, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain State Ent & Facial Plastic Surgery, Inc |
|---|---|
| Address | 86 Brookshire Ln, Beckley, |
| Phone Number | 3042552341 |
| Fax Number | 3042552343 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER; PRE |
|---|---|
| Authorized Official Name | Paine James Albert |
| Credentials | MD |
| Telephone Number | 3042552341 |
NPI Number Detail
| NPI Number | 1982604997 |
|---|---|
| Provider Enumeration Date | 2005-08-01 |
| Last Updated Date | 2023-12-04 |
Provider Mailing Address Detail
| Address | 86 Brookshire Ln |
|---|---|
| City | Beckley |
| State | (WV) |
| Post Code | 258016765 |
| Phone Number | 3042552341 |
| Fax Number | 3042552343 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 6769 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Mountain State Ent & Facial Plastic Surgery, Inc?
The Mountain State Ent & Facial Plastic Surgery, Inc has been issued the NPI (National Provider Identifier) 1982604997 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mountain State Ent & Facial Plastic Surgery, Inc is geographically located?
The Mountain State Ent & Facial Plastic Surgery, Inc is physically situated at the following location: 86 Brookshire Ln, Beckley, WV, 258016765.
What is Mountain State Ent & Facial Plastic Surgery, 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 Mountain State Ent & Facial Plastic Surgery, Inc is Medical Specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm2500X.
When did the Mountain State Ent & Facial Plastic Surgery, Inc receive its 1982604997?
The Mountain State Ent & Facial Plastic Surgery, Inc was issued its 1982604997 on 2005-08-01, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mountain State Ent & Facial Plastic Surgery, Inc most recently updated?
The details pertaining to the Mountain State Ent & Facial Plastic Surgery, Inc, including its address, specialty, and other relevant information, were last refreshed on 2023-12-04.