Healthcare Provider Details
I. General information
NPI: 1932434149
Provider Name (Legal Business Name): COMPREHENSIVE HEALTH SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2009
Last Update Date: 02/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
184 E 2ND AVE SUITE 1
WILLIAMSON WV
25661-3602
US
IV. Provider business mailing address
PO BOX 300
WILLIAMSON WV
25661-0300
US
V. Phone/Fax
- Phone: 304-235-1844
- Fax: 304-235-2765
- Phone: 304-235-1844
- Fax: 304-235-2765
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | 1875 |
| License Number State | WV |
VIII. Authorized Official
Name: DR.
CHRISTOPHER
DONOVAN
BECKETT
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential: D.O.
Phone: 304-235-1844