Healthcare Provider Details

I. General information

NPI: 1346952801
Provider Name (Legal Business Name): GABRIEL PAUL ROHMANN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 CHAPLINE ST
WHEELING WV
26003-3875
US

IV. Provider business mailing address

2101 CHAPLINE ST
WHEELING WV
26003-3875
US

V. Phone/Fax

Practice location:
  • Phone: 304-233-2004
  • Fax: 304-232-6128
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number2795
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: