Healthcare Provider Details

I. General information

NPI: 1790680882
Provider Name (Legal Business Name): MR. CHRISTOPHER M HEDIO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MON HEALTH MEDICAL PARK DR STE 2300
MORGANTOWN WV
26505-1168
US

IV. Provider business mailing address

2000 MON HEALTH MEDICAL PARK DR STE 2300
MORGANTOWN WV
26505-1168
US

V. Phone/Fax

Practice location:
  • Phone: 304-599-8802
  • Fax:
Mailing address:
  • Phone: 304-599-8802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number776938
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: