Romeo R Ednacot
Adolescent Medicine
207 Maplewood Ave
Ronceverte
, West Virginia 24970-1335
Romeo R Ednacot
Adolescent Medicine
207 Maplewood Ave
Ronceverte
, West Virginia 24970-1335
(304) 536-5031
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Romeo R Ednacot
- Po Box 3705
- Charleston, WV
- Zip : 25337-3705
- Fax : (304) 536-5031
- Phone : (304) 536-5030
Second Address
- Romeo R Ednacot
- 207 Maplewood Ave
- Ronceverte, WV
- Zip : 24970-1335
- Fax : (304) 645-7008
- Phone : (304) 645-7007
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Is Romeo R Ednacot a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 10073 | WV |
National Provider Identifier
| NPI | 1003810631 |
|---|---|
| Provider Name | Romeo R Ednacot |
| First Address | Charleston, WV 25337-3705 |
| Second Address | Ronceverte, WV 24970-1335 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0112064000 | (05) | WV |
| B42755 | (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.