Individual
NORVAL L. RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1526 MILEGROUND RD, MORGANTOWN, WV 26505-3745
(304) 292-4996
(304) 292-9578
Mailing address
1526 MILEGROUND RD, MORGANTOWN, WV 26505-3745
(304) 296-2395
(304) 413-0055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11609
WV
208D00000X
General Practice Physician
11609
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721628
BLUE SHIELD SERVICE #
WV
05
—
0050271000
—
WV
01
—
010064707
RAILROAD MEDICARE
—
01
—
017821900
FED. BLACK LUNG
—
01
—
CB6236
RAILROAD MEDICARE GROUP
WV
Enumeration date
06/08/2005
Last updated
01/18/2012
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