Provider Demographics
NPI:1376814855
Name:OATES, RUMSEY
Entity type:Individual
Prefix:
First Name:RUMSEY
Middle Name:
Last Name:OATES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550-2035
Mailing Address - Country:US
Mailing Address - Phone:304-675-2303
Mailing Address - Fax:304-675-7762
Practice Address - Street 1:2501 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550-2035
Practice Address - Country:US
Practice Address - Phone:304-675-2303
Practice Address - Fax:304-675-7762
Is Sole Proprietor?:No
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0003287183500000X
OH03212867183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist