Healthcare Provider Details
I. General information
NPI: 1326225921
Provider Name (Legal Business Name): PAIRODOCS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/25/2008
Last Update Date: 01/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3554 US ROUTE 60 E
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 | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | WV1479 |
| License Number State | WV |
VIII. Authorized Official
Name:
LOIS
WEIXLER
Title or Position: MEDICAL DIRECTOR
Credential: D.O.
Phone: 304-736-2981