NPI 1760721039 · live from the CMS NPI Registry
Joshua Tollison Bishop, PA-C
Physician Assistant, Medical in Mullens, WV. National Provider Identifier 1760721039, active.
NPI record
| NPI | 1760721039 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 205 Howard Ave, Mullens, WV 25882 |
| Practice phone | 304-294-4880 |
| Mailing address | 97 Main Ave, Po Box 1650, Pineville, WV 24874 |
| Enumerated | February 6, 2013 |
| Last updated | May 24, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 685 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.