Organization Name: | PROMPT CARE PLUS, MC |
NPI Number: | 1699000992 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDY ROBERTS (ADMINISTRATIVE ASSISTANT) |
Mailing Address: | 1334 Ritter Dr Unit 4 Daniels |
State: | WV US |
Postal Code: | 258329445 |
Phone Number: | 3042523711 |
Fax Number: | 3042520721 |
NPI Enumeration Date: | 10/05/2009 |
NPI Last Update Date: | 10/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |