Staab, Charles Henry
Staab, Charles Henry is an individual health care provider with primary practice located at 30 Medical Park Suite 223, Wheeling WV 26003-6391. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Staab, Charles Henry can be contacted via phone (304) 242-3300.Contact Information
Primary practice address
30 Medical Park Suite 223
Wheeling WV 26003-6391
Phone: (304) 242-3300
Fax: (304) 242-8964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11194 | West Virginia |
Profile Details
| NPI number | 1598766016 |
|---|---|
| LBN Legal business name | Staab, Charles Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598766016 | NPPES |
| West Virginia | MEDICAID | 0111925000 | |
| West Virginia | MEDICAID | 0361111 | |
| West Virginia | Other | 216250 | |
| West Virginia | Other | 11194C | |
| West Virginia | Other | 875707 |
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