Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC004294L | PA |
Y | 222Z00000X | Podiatrist | SC004294L | PA |
N | 213EP1101X | Primary Podiatric Medicine | 331 | WV |
NPI | 1487659058 |
---|---|
Provider Name | Dr. Edward A Filcheck |
First Address | Morgantown, WV 26505-2731 |
Second Address | Morgantown, WV 26505-2731 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 17/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0100061000 | (05) | WV |
01698854 | (05) | PA |
U68391 | (02) | PA |