| E J Salon Md Inc | |
|
200 Raleigh Ave Beckley WV 25801-5944 | |
| (304) 252-8541 | |
| (304) 253-2507 |
| Full Name | E J Salon Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Raleigh Ave, Beckley, West Virginia |
| Authorized Official Name and Position | Ely J Salon (PRSIDENT) |
| Authorized Official Contact | 3042528541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E J Salon Md Inc 200 Raleigh Ave Beckley WV 25801-5944 Ph: (304) 252-8541 | E J Salon Md Inc 200 Raleigh Ave Beckley WV 25801-5944 Ph: (304) 252-8541 |
| NPI Number | 1699819219 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699819219 | NPI | - | NPPES |
| 001722335 | Other | WV | BLUE CROSS BLUE SHIELD |
| 0079492000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18381 (West Virginia) | Primary |
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