M I Dababnah Md Inc | |
856 S. Ritter Dr. Beaver WV 25813 | |
(304) 255-4845 | |
(304) 255-4845 |
Full Name | M I Dababnah Md Inc |
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Speciality | Clinic/center |
Location | 856 S. Ritter Dr., Beaver, West Virginia |
Authorized Official Name and Position | Mousa I Dababnah (PRESIDENT) |
Authorized Official Contact | 3042554845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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M I Dababnah Md Inc Po Box 247 856 S. Ritter Dr Beaver WV 25813-0247 Ph: (304) 255-4845 | M I Dababnah Md Inc 856 S. Ritter Dr. Beaver WV 25813 Ph: (304) 255-4845 |
NPI Number | 1457476525 |
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Provider Enumeration Date | 03/20/2007 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457476525 | NPI | - | NPPES |
0134848 | Other | WV | UMWA |
8750169013 | Other | WV | ME |
3810009229 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 10670 (West Virginia) | Primary |