Provider Demographics
NPI:1881742088
Name:EDWARD A FILCHECK PLLC
Entity type:Organization
Organization Name:EDWARD A FILCHECK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATING MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:FILCHECK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:304-599-5570
Mailing Address - Street 1:1262 PINEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2731
Mailing Address - Country:US
Mailing Address - Phone:304-599-5570
Mailing Address - Fax:304-599-5664
Practice Address - Street 1:1262 PINEVIEW DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2731
Practice Address - Country:US
Practice Address - Phone:304-599-5570
Practice Address - Fax:304-599-5664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-06
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC0042941261QP1100X
WV331261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01698854Medicaid
WV0100061000Medicaid
PA01698854Medicaid
PAU68391Medicare UPIN
WV0851191Medicare ID - Type Unspecified
PA000298Medicare ID - Type Unspecified