| Etn Md Inc. | |
|
2401 S Kanawha St Ste 100 Beckley WV 25801-6967 | |
| (202) 294-4942 | |
| Not Available |
| Full Name | Etn Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2401 S Kanawha St Ste 100, Beckley, West Virginia |
| Authorized Official Name and Position | Elizabeth T Nelson (PRESIDENT) |
| Authorized Official Contact | 2022944942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Etn Md Inc. 105 Robert Way Daniels WV 25832-9051 Ph: (202) 294-4942 | Etn Md Inc. 2401 S Kanawha St Ste 100 Beckley WV 25801-6967 Ph: (202) 294-4942 |
| NPI Number | 1427633445 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Medicare PECOS PAC ID | 6800203936 |
|---|---|
| Medicare Enrollment ID | O20210407001842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427633445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth T Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568651180 PECOS PAC ID: 5496779597 Enrollment ID: I20091105000383 |
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