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Individual

CARL A WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 285-1200
(304) 345-7320
Mailing address
PO BOX 711841, MID ATLANTIC ANESTHESIA CONSULTANTS, COLUMBUS, OH 43271-0001
(304) 346-9400
(304) 345-7320

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18008
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000261804
MSBCBS
WV
01
001706469
MSBCBS GROUP
WV
01
001706470
MSBCBS GROUP
WV
05
0207026000
WV
05
0760467
OH
01
1071985
WORKERS COMP
WV
05
2460484
OH
05
2460484
WV
05
2605252000
WV
01
27005299700
WORKERS COMP GROUP
WV
01
270052997004
TRICARE
WV
01
DA0096
RR MEDICARE
WV
01
P00453014
RR MEDICARE
WV
Enumeration date
10/11/2006
Last updated
05/19/2008
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