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Contact Information

STEPHEN M PATRICK, PA-C
800 WHEELING AVE
GLEN DALE, WV26038-1660
 Phone: 304-845-3211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STEPHEN M PATRICK · (Male)

NPI Number 1124109533
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/19/2006
Last updated 04/30/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • WV License # 01098
Hospital affiliation(s)
  • REYNOLDS MEMORIAL HOSPITAL - (Acute Care)
    800 WHEELING AVE
    GLEN DALE, WV 26038
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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