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NPI Code Detail

MEDICARE: DR. JOEL ANTHONY SCHOR M.D.

MEDICARE: DR. JOEL ANTHONY SCHOR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist15040WV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7830002821OTHERWVMEDICARE/TRAVELERS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000194492OTHERWVMT.STATE BC/BS
2V002654OTHERWVCHAMPUS
3276040OTHERWVFEDERAL BLACK LUNG
4550659088003OTHERWVPEIA (WV PUBLIC EMPL)
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
84653977OTHERWVAETNA HEALTH PLANS
9087343OTHERVATRIGON BC/BS OF VIRGINIA

General Provider Information

NPI Number : 1003866997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL ANTHONY SCHOR M.D.
Provider Business Mailing Address
First Line : 1027 FREDERICK ST
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-3942
Country : US
Telephone Number : 304-325-8104
Fax Number : 304-324-4267
Provider Business Practice Location Address
First Line : 1027 FREDERICK ST
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-3942
Country : US
Telephone Number : 304-325-8104
Fax Number : 304-324-4267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 10/06/2015

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