Bertha, Diane Lynn
Bertha, Diane Lynn is an individual health care provider with primary practice located at 3854 Marion Dr , Weirton WV 26062-5245. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Bertha, Diane Lynn can be contacted via phone (304) 748-0596.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
NPI number | 1285372078 |
---|---|
LBN Legal business name | Bertha, Diane Lynn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2022 |
Last updated | May 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285372078 | NPPES |
West Virginia | MEDICAID | 125553494 | |
West Virginia | MEDICAID | 1356607394 | |
West Virginia | MEDICAID | 1821206228 |
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