King, Tina Marie

King, Tina Marie is an individual health care provider with primary practice located at 355 Bluefield Ave , Bluefield WV 24701-2883. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. King, Tina Marie can be contacted via phone (304) 425-7111.

Contact Information

Primary practice address
355 Bluefield Ave Bluefield WV 24701-2883
Phone: (304) 425-7111
Fax: (304) 425-1138
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 1568796027 West Virginia
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 1568796027 West Virginia

Profile Details

NPI number 1740945062
LBN Legal business name King, Tina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2021
Last updated Dec 22nd, 2021 - about 3 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 1740945062 NPPES
West Virginia MEDICAID 55-6025355

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