Provider Demographics
NPI:1346203163
Name:CULP, JANE A (MD)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:A
Last Name:CULP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1 ROSS PARK BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2681
Mailing Address - Country:US
Mailing Address - Phone:740-283-2133
Mailing Address - Fax:
Practice Address - Street 1:1 ROSS PARK BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2671
Practice Address - Country:US
Practice Address - Phone:740-283-2203
Practice Address - Fax:740-283-2133
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35060076207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0075049000Medicaid
OH0893485Medicaid
OH0893485Medicaid
F02598Medicare UPIN