Individual
MR. RICHARD LAYNE DEL-CHECCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31ST ST MEDICAL CLINIC, 410 31ST ST, HUNTINGTON, WV 25702
(304) 525-9100
(304) 525-4402
Mailing address
656 13TH ST, HUNTINGTON, WV 25701-2302
(304) 523-8971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
WV13119
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00132493
MOUNTAIN STATE BLUE CROSS
WV
05
—
0050362000
—
WV
01
—
207955
CARELINK
WV
Enumeration date
01/26/2006
Last updated
12/08/2010
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