Ingram, Steven

Ingram, Steven is an individual health care provider with primary practice located at 113 Kerns Ave , Fairmont WV 26554-4523. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Ingram, Steven can be contacted via phone (304) 612-0470.

Contact Information

Primary practice address
113 Kerns Ave Fairmont WV 26554-4523
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1497358931
LBN Legal business name Ingram, Steven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2020
Last updated Nov 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497358931 NPPES
West Virginia MEDICAID 653968

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