| Inshapewv | |
|
956 N Eisenhower Dr Beckley WV 25801-3114 | |
| (681) 238-5258 | |
| (681) 238-5700 |
| Full Name | Inshapewv |
|---|---|
| Speciality | Clinic/center |
| Location | 956 N Eisenhower Dr, Beckley, West Virginia |
| Authorized Official Name and Position | James R Ellis (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 6812385258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inshapewv 956 N Eisenhower Dr Beckley WV 25801-3114 Ph: (681) 238-5258 | Inshapewv 956 N Eisenhower Dr Beckley WV 25801-3114 Ph: (681) 238-5258 |
| NPI Number | 1679917553 |
|---|---|
| Provider Enumeration Date | 04/23/2013 |
| Last Update Date | 05/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679917553 | NPI | - | NPPES |
| 1336604750 | Other | NPI-DANA FROBLE | |
| 1346599313 | Other | NPI-PAULA BRAMMER | |
| 1679917553 | Other | NPI-MERCEDES WEIKLE | |
| 1447237458 | Other | NPI-DR. ROGER EDWARDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 50904 (West Virginia) | Primary |
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