Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 30292 | WV |
Y | 2080P0210X | Pediatric Nephrologist | 30292 | WV |
N | 2080P0210X | Pediatric Nephrologist | 35.092030 | OH |
NPI | 1265694244 |
---|---|
Provider Name | Edward Jerome Nehus |
First Address | Huntington, WV 25701-3655 |
Second Address | Huntington, WV 25701-3655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 01/12/2021 |