Provider Demographics
NPI:1487648036
Name:STOEHR, ERIN V (DO)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:V
Last Name:STOEHR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MEDICAL PARK
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-6389
Mailing Address - Country:US
Mailing Address - Phone:304-242-3900
Mailing Address - Fax:304-242-8564
Practice Address - Street 1:10 MEDICAL PARK
Practice Address - Street 2:SUITE 300
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-6389
Practice Address - Country:US
Practice Address - Phone:304-242-3900
Practice Address - Fax:304-242-8564
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV1874207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV381002896Medicaid
OH2554230Medicaid