Individual
JEFFREY B WILPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3747 MAIN ST, WEIRTON, WV 26062-5309
(304) 797-0190
(304) 797-1187
Mailing address
3747 MAIN ST, WEIRTON, WV 26062-5309
(307) 797-0190
(304) 797-1187
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
238
WV
213ES0103X
Foot & Ankle Surgery Podiatrist
36002849W
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
SC0031702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099550000
—
WV
05
—
0757122
—
OH
01
—
480030330
RAILROAD MEDICARE
—
Enumeration date
07/28/2005
Last updated
06/03/2008
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