Individual
LOUIS A YANCICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 HOSPITAL PLZ, GRAFTON, WV 26354-1283
(304) 265-0400
Mailing address
PO BOX 470, POINT PLEASANT, WV 25550-0470
(304) 273-0113
(304) 273-0115
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
02003033A
IN
207P00000X
Emergency Medicine Physician
Primary
1453
WV
207Q00000X
Family Medicine Physician
0102204367
VA
207Q00000X
Family Medicine Physician
34.007997
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
1453
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200809220
—
IN
Enumeration date
06/08/2006
Last updated
01/21/2026
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