Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 10383 | WV |
NPI | 1053303834 |
---|---|
Provider Name | Seth J. Stinehour |
First Address | Teays, WV 25569-0242 |
Second Address | Hurricane, WV 25526-1526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 19/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001720029 | BC BS (01) | WV |
2508058 | (05) | OH |
3810000605 | (05) | WV |
V00022 | (02) | WV |