Everett, Amy Pauline
Everett, Amy Pauline is an individual health care provider with primary practice located at 503 Burroughs St Ste 105 , Morgantown WV 26505. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Everett, Amy Pauline can be contacted via phone (304) 599-1234.Contact Information
Primary practice address
503 Burroughs St Ste 105
Morgantown WV 26505
Phone: (304) 599-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3095 | West Virginia |
Profile Details
| NPI number | 1487678710 |
|---|---|
| LBN Legal business name | Everett, Amy Pauline |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Dec 19th, 2018 - about 6 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 | 1487678710 | NPPES |
| West Virginia | MEDICAID | 0133692001 |
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