Healthcare Provider Details

I. General information

NPI: 1467648717
Provider Name (Legal Business Name): BOBBIE JO SALEH NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 06/01/2020
Certification Date: 06/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MEDICAL PARK SUITE 300
WHEELING WV
26003
US

IV. Provider business mailing address

40 MEDICAL PARK SUITE 300
WHEELING WV
26003
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-6442
  • Fax: 304-243-3715
Mailing address:
  • Phone: 304-243-6442
  • Fax: 304-243-3715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.09810
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number308217
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number46606
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: