Provider Demographics
NPI:1033366265
Name:FIRST SETTLEMENT ORTHOPAEDICS INC
Entity Type:Organization
Organization Name:FIRST SETTLEMENT ORTHOPAEDICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FETTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-373-8756
Mailing Address - Street 1:PO BOX 270
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-0270
Mailing Address - Country:US
Mailing Address - Phone:740-373-8756
Mailing Address - Fax:740-373-0091
Practice Address - Street 1:3 E BENJAMIN DR
Practice Address - Street 2:
Practice Address - City:NEW MARTINSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26155-2705
Practice Address - Country:US
Practice Address - Phone:740-373-8756
Practice Address - Fax:740-373-0091
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST SETTLEMENT ORTHOPAEDICS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-19
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0208352000Medicaid
WVFI9285856Medicare PIN