| Michael Family Practice Pllc | |
|
2055 Valley Road Berkeley Springs WV 25411 | |
| (304) 258-8824 | |
| Not Available |
| Full Name | Michael Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2055 Valley Road, Berkeley Springs, West Virginia |
| Authorized Official Name and Position | Amanda G Michael (PHYSICIAN) |
| Authorized Official Contact | 3042588824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Family Practice Pllc Po Box 1111 Berkeley Springs WV 25411-3111 Ph: (304) 258-8824 | Michael Family Practice Pllc 2055 Valley Road Berkeley Springs WV 25411 Ph: (304) 258-8824 |
| NPI Number | 1487927141 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 10/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487927141 | NPI | - | NPPES |
| 3810023434 | Medicaid | WV | |
| 2583 | Other | WV | WEST VIRGINIA LICENSE |
| 3438686 | Other | WA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2583 (West Virginia) | Primary |
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