Canella, Mary T
Canella, Mary T is an individual health care provider with primary practice located at 485 Colliers Way , Weirton WV 26062-5012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Canella, Mary T can be contacted via phone (304) 723-5400.Contact Information
Primary practice address
485 Colliers Way
Weirton WV 26062-5012
Phone: (304) 723-5400
Fax: (304) 723-5400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 57996 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP011001 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA1171NP | Ohio |
Profile Details
| NPI number | 1568764835 |
|---|---|
| LBN Legal business name | Canella, Mary T |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2010 |
| Last updated | May 13th, 2020 - about 4 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 | 1568764835 | NPPES |
| Ohio | MEDICAID | 0109904 | |
| Ohio | MEDICAID | 1027635930001 |
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