Braenovich, Shaelyn

Braenovich, Shaelyn is an sole proprietor health care provider with primary practice located at 175 Philpott Ln , Beaver WV 25813-9501. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Braenovich, Shaelyn can be contacted via phone (304) 254-9262.

Contact Information

Primary practice address
175 Philpott Ln Beaver WV 25813-9501
Phone: (304) 254-9262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 39816 West Virginia

Profile Details

NPI number 1417653585
LBN Legal business name Braenovich, Shaelyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2023
Last updated Feb 1st, 2023 - about last year

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 1417653585 NPPES
West Virginia MEDICAID 39816

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