Bernard Joseph Luby
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
4607 Maccorkle Ave Sw Ste 206
South Charleston
, West Virginia 25309-1364
Bernard Joseph Luby
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
4607 Maccorkle Ave Sw Ste 206
South Charleston
, West Virginia 25309-1364
(304) 766-1131
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About
Features
Specialties
- Obstetrician & Gynecologist
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Bernard Joseph Luby
- 4607 Maccorkle Ave Sw Ste 206
- South Charleston, WV
- Zip : 25309-1364
- Fax : (304) 766-1131
- Phone : (304) 766-1133
Second Address
- Bernard Joseph Luby
- 4607 Maccorkle Ave Sw Ste 206
- South Charleston, WV
- Zip : 25309-1364
- Fax : (304) 766-1136
- Phone : (304) 766-1133
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 12708 | WV |
| N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 12708 | WV |
National Provider Identifier
| NPI | 1659431096 |
|---|---|
| Provider Name | Bernard Joseph Luby |
| First Address | South Charleston, WV 25309-1364 |
| Second Address | South Charleston, WV 25309-1364 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2006 |
| Last Update Date | 07/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A72340 | (02) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.