Healthcare Provider Details

I. General information

NPI: 1346203163
Provider Name (Legal Business Name): JANE A CULP MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 06/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROSS PARK BLVD SUITE 205
STEUBENVILLE OH
43952-2671
US

IV. Provider business mailing address

1 ROSS PARK BLVD SUITE 205
STEUBENVILLE OH
43952-2681
US

V. Phone/Fax

Practice location:
  • Phone: 740-283-2203
  • Fax: 740-283-2133
Mailing address:
  • Phone: 740-283-2133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35060076
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: