Healthcare Provider Details

I. General information

NPI: 1982220703
Provider Name (Legal Business Name): WHITNEY N WIGAL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 DIVISION ST
PARKERSBURG WV
26101-5656
US

IV. Provider business mailing address

602 DIVISION ST
PARKERSBURG WV
26101-5656
US

V. Phone/Fax

Practice location:
  • Phone: 304-424-4249
  • Fax:
Mailing address:
  • Phone: 304-424-4249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.006386RX
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2333
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: