Antill, Renee Natalie

Antill, Renee Natalie is an individual health care provider with primary practice located at 20 Washington Ave , Benwood WV 26031-1018. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Antill, Renee Natalie can be contacted via phone (304) 737-4354.

Contact Information

Primary practice address
20 Washington Ave Benwood WV 26031-1018
Phone: (304) 737-4354
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1801518550
LBN Legal business name Antill, Renee Natalie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2022
Last updated Sep 19th, 2022 - about 2 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 1801518550 NPPES
West Virginia MEDICAID 1821206228
West Virginia MEDICAID 1356607394
West Virginia MEDICAID 125553494

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