Ayres, Tabitha Marie

Ayres, Tabitha Marie is an individual health care provider with primary practice located at 87 Swierkos Dr , Moundsville WV 26041-4209. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Ayres, Tabitha Marie can be contacted via phone (304) 843-2306.

Contact Information

Primary practice address
87 Swierkos Dr Moundsville WV 26041-4209
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1275148447
LBN Legal business name Ayres, Tabitha Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2020
Last updated Jun 24th, 2021 - about 3 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 1275148447 NPPES
West Virginia MEDICAID 1255523494
West Virginia MEDICAID 1356607394
West Virginia MEDICAID 1821206228

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