Gaum, Shelley Amber
Gaum, Shelley Amber is an individual health care provider with primary practice located at 401 Division St Ste 306 , South Charleston WV 25309-1455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gaum, Shelley Amber can be contacted via phone (304) 766-4300.Contact Information
Primary practice address
401 Division St Ste 306
South Charleston WV 25309-1455
Phone: (304) 766-4300
Fax: (304) 766-5474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 01513 | West Virginia |
Profile Details
| NPI number | 1720396872 |
|---|---|
| LBN Legal business name | Gaum, Shelley Amber |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2010 |
| Last updated | Oct 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720396872 | NPPES |
| West Virginia | MEDICAID | 1720396872 |
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