Individual
RICHARD A IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2129 NATIONAL RD, WHEELING, WV 26003-5247
(304) 242-2303
(304) 242-4231
Mailing address
2129 NATIONAL RD, P.O. BOX 2079, WHEELING, WV 26003-5247
(304) 242-2303
(304) 242-4231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1279
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705854
BLUE CROSS/BLUE SHIELD/MT
WV
01
—
0053352001
PAAS
WV
05
—
0053352001
—
WV
01
—
0205733701
WV COMP
WV
01
—
1279C
HEALTH PLAN OF THE UPPER
WV
01
—
153563
CARELINK
WV
05
—
2310412
—
OH
Enumeration date
10/19/2005
Last updated
10/26/2007
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