Provider Demographics
NPI:1962757963
Name:WHEELER, CHRISTOPHER H (NP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:H
Last Name:WHEELER
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 449
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-0449
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:799 FARSON ST
Practice Address - Street 2:SUITE 210
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1044
Practice Address - Country:US
Practice Address - Phone:740-423-3082
Practice Address - Fax:740-423-3083
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV62758363LF0000X
OHAPRN.CNP.13343363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0071733Medicaid
WV3810024249Medicaid
OH0071733Medicaid
OHH144882Medicare PIN
OHH144881Medicare PIN