Healthcare Provider Details

I. General information

NPI: 1396687042
Provider Name (Legal Business Name): DORICE GABRIELE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 KRUGER ST
WHEELING WV
26003-5126
US

IV. Provider business mailing address

421 KRUGER ST
WHEELING WV
26003-5126
US

V. Phone/Fax

Practice location:
  • Phone: 304-215-2842
  • Fax:
Mailing address:
  • Phone: 304-215-2842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: