Individual
SHIRLEY M NEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1249 15TH ST, SUITE 2000, HUNTINGTON, WV 25701-3662
(304) 691-1000
(304) 691-1693
Mailing address
1249 15TH ST, SUITE 2000, HUNTINGTON, WV 25701-3662
(304) 691-1000
(304) 691-1693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12245
WV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
12245
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083226000
—
WV
05
—
0513402
—
OH
05
—
64693922
—
KY
Enumeration date
04/18/2006
Last updated
11/05/2012
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