Provider Demographics
NPI:1093752800
Name:PANHANDLE MEDICINE PLLC
Entity Type:Organization
Organization Name:PANHANDLE MEDICINE PLLC
Other - Org Name:JOHN C. VELTMAN, MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:VELTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-264-2290
Mailing Address - Street 1:35 AIKENS CTR
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404-5708
Mailing Address - Country:US
Mailing Address - Phone:304-264-2290
Mailing Address - Fax:304-264-2295
Practice Address - Street 1:35 AIKENS CTR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-5708
Practice Address - Country:US
Practice Address - Phone:304-264-2290
Practice Address - Fax:304-264-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV18089207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
9344701Medicare PIN