Healthcare Provider Details
I. General information
NPI: 1407835911
Provider Name (Legal Business Name): PAIRODOCS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/12/2006
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3554 US ROUTE 60 E PAIRODOCS INC DBA HUNTINGTON SPINE REHAB & PAIN CENTER
BARBOURSVILLE WV
25504-1639
US
IV. Provider business mailing address
3554 US ROUTE 60 E
BARBOURSVILLE WV
25504-1639
US
V. Phone/Fax
- Phone: 304-736-2981
- Fax: 304-736-2985
- Phone: 304-736-2981
- Fax: 304-736-2985
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LOIS
C
WEIXLER
Title or Position: OFFICE MANAGER
Credential: DO
Phone: 304-736-2981