Grubb, Stephen R

Grubb, Stephen R is an individual health care provider with primary practice located at 3100 Maccorkle Ave Se Ste 205 , Charleston WV 25304-1228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Grubb, Stephen R can be contacted via phone (304) 720-7305.

Contact Information

Primary practice address
3100 Maccorkle Ave Se Ste 205 Charleston WV 25304-1228
Phone: (304) 720-7305
Fax: (304) 720-7310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 11158 West Virginia

Profile Details

NPI number 1467462531
LBN Legal business name Grubb, Stephen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467462531 NPPES
West Virginia MEDICAID 0087581000

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