Individual
MELISSA BASNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-5033
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00614
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA7030
RAILROAD MEDICARE GROUP #
WV
01
—
P00621724
RAILROAD MEDICARE
WV
Enumeration date
07/07/2006
Last updated
04/07/2022
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