Organization
BROOKE COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DEPETRO MD (HEALTH OFFICER)
(304) 737-3665
Entity
Organization
Contact information
Practice address
632 MAIN ST, WELLSBURG, WV 26070-1743
(304) 737-3665
(304) 737-3689
Mailing address
632 MAIN ST, WELLSBURG, WV 26070-1743
(304) 737-3665
(304) 737-3689
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
17078
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021216001
—
WV
Enumeration date
04/26/2007
Last updated
01/17/2023
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