Acabeo-Smith, Providencia

Acabeo-Smith, Providencia is an individual health care provider with primary practice located at 704 Professional Park Dr Suite B, Summersville WV 26651-2000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Acabeo-Smith, Providencia can be contacted via phone (304) 872-0490.

Contact Information

Primary practice address
704 Professional Park Dr Suite B Summersville WV 26651-2000
Phone: (304) 872-0490
Fax: (304) 872-0492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001172 West Virginia

Profile Details

NPI number 1235264466
LBN Legal business name Acabeo-Smith, Providencia
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 29th, 2008 - about 16 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 1235264466 NPPES
West Virginia MEDICAID 0157391000

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