Healthcare Provider Details

I. General information

NPI: 1275879868
Provider Name (Legal Business Name): HARRY KARL TWEEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2012
Last Update Date: 12/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 7TH AVE
HUNTINGTON WV
25701-2115
US

IV. Provider business mailing address

703 7TH AVE
HUNTINGTON WV
25701-2115
US

V. Phone/Fax

Practice location:
  • Phone: 304-523-6483
  • Fax: 304-523-6482
Mailing address:
  • Phone: 304-523-6483
  • Fax: 304-523-6482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number9293
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: