Healthcare Provider Details

I. General information

NPI: 1457611303
Provider Name (Legal Business Name): EMPLOYMENT & DISABILITY MEDICINE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 05/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1195 PINEVIEW DR SUITE 1
MORGANTOWN WV
26505-3461
US

IV. Provider business mailing address

1195 PINEVIEW DR SUITE 1
MORGANTOWN WV
26505-3461
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-0282
  • Fax: 304-598-0283
Mailing address:
  • Phone: 304-598-0282
  • Fax: 304-598-0283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number1293
License Number StateWV

VIII. Authorized Official

Name: MR. PAUL DEAN STEINMAN JR.
Title or Position: PRESIDENT
Credential: D.O.
Phone: 304-598-0282