Provider Demographics
NPI:1497364574
Name:ARBOGAST, MARSHA ELIZABETH
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:ELIZABETH
Last Name:ARBOGAST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 RALSTON RUN RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY HEAD
Mailing Address - State:WV
Mailing Address - Zip Code:26294-7036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VALLEY VIEW MHP LOT 24
Practice Address - Street 2:
Practice Address - City:DAILEY
Practice Address - State:WV
Practice Address - Zip Code:26259
Practice Address - Country:US
Practice Address - Phone:681-731-3011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant