Provider Demographics
NPI:1467648717
Name:SALEH, BOBBIE JO (NP-C)
Entity Type:Individual
Prefix:
First Name:BOBBIE
Middle Name:JO
Last Name:SALEH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MEDICAL PARK
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-243-6442
Mailing Address - Fax:304-243-3715
Practice Address - Street 1:40 MEDICAL PARK
Practice Address - Street 2:SUITE 300
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-243-6442
Practice Address - Fax:304-243-3715
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.09810363LF0000X
OH308217363LF0000X
WV46606363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810011544Medicaid
OH2793544Medicaid
WVNP81541Medicare PIN