Haven N Wall JR.
Internist - Cardiovascular Disease
Rr 2 Box 171c
Lewisburg
, West Virginia 24901-9318
Haven N Wall JR.
Internist - Cardiovascular Disease
Rr 2 Box 171c
Lewisburg
, West Virginia 24901-9318
(304) 645-1439
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Haven N Wall JR.
- Po Box 1046
- Lewisburg, WV
- Zip : 24901-4046
- Fax : (304) 645-1439
- Phone : (304) 645-6083
Second Address
- Haven N Wall JR.
- Rr 2 Box 171c
- Lewisburg, WV
- Zip : 24901-9318
- Fax : (304) 645-1439
- Phone : (304) 645-6083
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 12141 | WV |
National Provider Identifier
| NPI | 1013912187 |
|---|---|
| Provider Name | Haven N Wall JR. |
| First Address | Lewisburg, WV 24901-4046 |
| Second Address | Lewisburg, WV 24901-9318 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 14/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0087282000 | (05) | WV |
| A72197 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.