Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 20225 | WV |
N | 207RN0300X | Nephrologist | 35078494M | OH |
NPI | 1013978220 |
---|---|
Provider Name | Marnie J Marker |
First Address | Wheeling, WV 26003-3660 |
Second Address | Wheeling, WV 26003-3660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 19/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001720769 | MT ST BLUE CROSS BS (01) | WV |
1803054000 | (05) | WV |
2205152 | (05) | OH |
78494 | HPUOV (01) | WV |
H25631 | (02) | WV |