Organization
ELLEN MARY CABE
Active
Other names
Chapmanville Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN M CABE MD (OWNER)
(304) 855-5083
Entity
Organization
Contact information
Practice address
22 AIRPORT ROAD, CHAPMANVILLE, WV 25508
(304) 855-5083
(304) 855-5729
Mailing address
22 AIRPORT RD, CHAPMANVILLE, WV 25508-9698
(304) 855-5083
(304) 855-5729
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007016476
AETNA
—
01
—
001789668
BCBS
WV
05
—
1808261000
—
WV
01
—
2167633
MAMSI
—
01
—
423068
CARELINK
—
01
—
61802
CARELINK MEDICAID
—
01
—
62076
UNICARE
—
Enumeration date
06/12/2006
Last updated
06/09/2011
Update your record
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