| John E. Capito, Md | |
|
2619 Pennsylvania Ave Weirton WV 26062-3752 | |
| (304) 723-2240 | |
| Not Available |
| Full Name | John E. Capito, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 2619 Pennsylvania Ave, Weirton, West Virginia |
| Authorized Official Name and Position | John E Capito (OWNER) |
| Authorized Official Contact | 3047232240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John E. Capito, Md Po Box 2002 Weirton WV 26062-1202 Ph: (304) 723-2240 | John E. Capito, Md 2619 Pennsylvania Ave Weirton WV 26062-3752 Ph: (304) 723-2240 |
| NPI Number | 1740205897 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740205897 | NPI | - | NPPES |
| 3810004823 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 13351 (West Virginia) | Primary |
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