Four Seasons Family Practice | |
904 Harrison St Princeton WV 24740-3011 | |
(304) 431-7100 | |
(304) 431-7112 |
Full Name | Four Seasons Family Practice |
---|---|
Speciality | Family Medicine |
Location | 904 Harrison St, Princeton, West Virginia |
Authorized Official Name and Position | Nancy A Lohuis (PHYSICIAN/OWNER) |
Authorized Official Contact | 3044317100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Four Seasons Family Practice Po Box 1050 Princeton WV 24740-1050 Ph: (304) 431-7100 | Four Seasons Family Practice 904 Harrison St Princeton WV 24740-3011 Ph: (304) 431-7100 |
NPI Number | 1750497145 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750497145 | NPI | - | NPPES |
0053383000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 16854 (West Virginia) | Primary |
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