Organization
ROSEMAR MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E. BEANE M.D. (PRESIDENT)
(304) 485-6130
Entity
Organization
Contact information
Practice address
4 ROSEMAR CIR, PARKERSBURG, WV 26104-1204
(304) 485-6130
(304) 485-1519
Mailing address
4 ROSEMAR CIR, PARKERSBURG, WV 26104-1204
(304) 485-6130
(304) 485-1519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008419
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044523000
—
WV
05
—
0048235000
—
WV
01
—
013332
COLA ID#
WV
05
—
1802554000
—
WV
Enumeration date
10/04/2006
Last updated
08/22/2020
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