Provider Demographics
NPI:1467406066
Name:MAGNUSSEN, APRIL B (MD)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:B
Last Name:MAGNUSSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:90 JACKSON PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1560
Mailing Address - Country:US
Mailing Address - Phone:740-446-5131
Mailing Address - Fax:740-446-5486
Practice Address - Street 1:90 JACKSON PIKE
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1560
Practice Address - Country:US
Practice Address - Phone:740-446-5131
Practice Address - Fax:740-446-5486
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-03-7590207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110062951OtherRR MEDICARE
OH000000181966OtherUNISON MEDICAID
001714056OtherMOUNTAIN STATE BCBS
OH0370469OtherMOLINA MEDICAID
OH310917085110OtherCARESOURCE MEDICAID
000000006933OtherANTHEM BCBS
WV0083057000Medicaid
OH0370469OtherMOLINA MEDICAID
E54577Medicare UPIN