Healthcare Provider Details
I. General information
NPI: 1184970311
Provider Name (Legal Business Name): FIRST SETTLEMENT ORTHOPAEDICS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2012
Last Update Date: 12/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
809 FARSON ST
BELPRE OH
45714-1067
US
IV. Provider business mailing address
PO BOX 270
MARIETTA OH
45750-0270
US
V. Phone/Fax
- Phone: 740-373-8756
- Fax: 740-373-0091
- Phone: 740-373-8756
- Fax: 740-373-0091
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | OH |
VIII. Authorized Official
Name:
GREGORY
B
KRIVCHENIA
II
Title or Position: PRESIDENT
Credential: M.D.
Phone: 740-373-8756