Abenoja, Latisha

Abenoja, Latisha is an individual health care provider with primary practice located at 1401 Chestnut St , Kenova WV 25530-1235. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Abenoja, Latisha can be contacted via phone (304) 453-2800.

Contact Information

Primary practice address
1401 Chestnut St Kenova WV 25530-1235
Phone: (304) 453-2800
Fax: (304) 453-2820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1194312298
LBN Legal business name Abenoja, Latisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2020
Last updated Dec 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194312298 NPPES
West Virginia MEDICAID 3810024363

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