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:
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Health care specialties

SpecialtyCodeLicense #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 19 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 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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