Eggleton, Veneta Rose

Eggleton, Veneta Rose is an individual health care provider with primary practice located at 830 Pennsylvania Ave , Charleston WV 25302-3302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Eggleton, Veneta Rose can be contacted via phone (304) 388-2252.

Contact Information

Primary practice address
830 Pennsylvania Ave Charleston WV 25302-3302
Fax: (304) 388-2243
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 25568 West Virginia

Profile Details

NPI number 1770549644
LBN Legal business name Eggleton, Veneta Rose
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Aug 13th, 2008 - about 17 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 1770549644 NPPES
West Virginia MEDICAID 0007020000

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