Organization Name: | CHARLES E. PORTERFIELD |
NPI Number: | 1487973756 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES EDWIN PORTERFIELD (PHYSICIAN) |
Mailing Address: | 202 3rd St. Mullens |
State: | WV US |
Postal Code: | 25882 |
Phone Number: | 3042555710 |
Fax Number: | 3042555702 |
NPI Enumeration Date: | 05/25/2010 |
NPI Last Update Date: | 05/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |