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General NPI Number Information
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NPI Number | 1356547210
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Entity Type | Organization
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Legal Business Name | ULTIMATE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 401 CAMDEN RD
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City | HUNTINGTON
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State | WV
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Zip | 25704-2708
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Country | US
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Telephone | 304-528-4600
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Fax | 304-697-0856
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Provider Business Mailing Address
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Address Line | 5170 US RT 60 EAST
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City | HUNTINGTON
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State | WV
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Zip | 25705-0000
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Country | US
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Telephone | 304-429-5594
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Fax | 304-429-5627
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | MICHAEL SUNDALL
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Credential | CEO
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Telephone | 304-528-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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