Provider Demographics
NPI:1740239771
Name:VELTMAN, JOHN C (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:VELTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 AIKENS CTR
Mailing Address - Street 2:PANHANDLE MEDICINE
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 CENTER
Practice Address - Street 2:PANHANDLE MEDICINE
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401
Practice Address - Country:US
Practice Address - Phone:304-264-2290
Practice Address - Fax:304-264-2295
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV18089208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810000054Medicaid
C98672Medicare UPIN
WV0780352Medicare PIN