Wv Asthma And Allergy Centers, INC.
Allergy & Immunology in Charleston, WV. Organization (NPI-2).
NPI number1114005477
StatusActive
Last updated in NPPESApr 13, 2020
Details
- NPI
- 1114005477
- Entity type
- Organization (NPI-2)
- Legal business name
- Wv Asthma And Allergy Centers, INC.
- Organization subpart
- No
- Enumeration date
- Nov 2, 2006
- Certification date
- Apr 13, 2020
- Last updated
- Apr 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | 11875 | WV | Yes |
Other names
- Asthma & Allergy Center (Doing Business As)
- Asthma And Allergy Center (Doing Business As)
Practice location
208 Maccorkle Ave SeCharleston, WV 25314-1160
Phone 304-343-4300 · Fax 304-343-5473
Mailing address
208 Maccorkle Ave SeCharleston, WV 25314-1160
Phone 304-343-4300 · Fax 304-343-5473
Authorized official
Jason C. Trusty
Administrator
3043434300
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