# ALBERT V JELLEN INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902095912
- **Authorized official:** DR. ALBERT V JELLEN MD (OWNER)
- **Authorized official phone:** (304) 242-5151

## Contact information

- **Practice address:** 2097 NATIONAL RD, WHEELING, WV 26003-5240
- **Practice address phone:** (304) 242-5151
- **Mailing address:** 2097 NATIONAL RD, WHEELING, WV 26003-5240
- **Mailing address phone:** (304) 242-5151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10293 | WV | Yes |

## Other

- **Enumeration date:** 10/16/2007
- **Last updated:** 03/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001719825 | BCBS | WV |