Provider Demographics
NPI:1932434149
Name:COMPREHENSIVE HEALTH SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTH SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DONOVAN
Authorized Official - Last Name:BECKETT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:304-235-1844
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:WV
Mailing Address - Zip Code:25661-0300
Mailing Address - Country:US
Mailing Address - Phone:304-235-1844
Mailing Address - Fax:304-235-2765
Practice Address - Street 1:184 E 2ND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:WILLIAMSON
Practice Address - State:WV
Practice Address - Zip Code:25661-3602
Practice Address - Country:US
Practice Address - Phone:304-235-1844
Practice Address - Fax:304-235-2765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1875207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVH92147Medicare UPIN