Provider Demographics
NPI:1629217419
Name:NABAL B. & ZINNIA B. GIRON, MD'S INC.
Entity Type:Organization
Organization Name:NABAL B. & ZINNIA B. GIRON, MD'S INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORP. VICE PRESIDENT/SEC. TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZINNIA
Authorized Official - Middle Name:BACOL
Authorized Official - Last Name:GIRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-822-3818
Mailing Address - Street 1:205 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROMNEY
Mailing Address - State:WV
Mailing Address - Zip Code:26757-1820
Mailing Address - Country:US
Mailing Address - Phone:304-822-3818
Mailing Address - Fax:304-822-3321
Practice Address - Street 1:205 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ROMNEY
Practice Address - State:WV
Practice Address - Zip Code:26757-1820
Practice Address - Country:US
Practice Address - Phone:304-822-3818
Practice Address - Fax:304-822-3321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV10513174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV110204523OtherMEDICARE RAILROAD
WV3810006084Medicaid
WV=========-003OtherMSBCBS
GI0435031Medicare PIN
B08343Medicare PIN
WV3810006084Medicaid