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Contact Information

STEPHEN R GRUBB, MD
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV25304-1228
 Phone: 304-720-7305
 Fax: 304-720-7310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STEPHEN R GRUBB · (Male)

NPI Number 1467462531
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 11158
  • WV Medicaid 0087581000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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