Organization
BELLEFONTE PHYSICIAN SERVICES, INC.
Active
Other names
Tri-State Neuro Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
2222 WINCHESTER AVE, STE. C, ASHLAND, KY 41101
(606) 325-8634
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(877) 214-4267
(606) 833-4668
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095545
—
OH
05
—
7100283780
—
KY
Enumeration date
09/10/2013
Last updated
11/13/2018
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