Long, Genieva

Long, Genieva is an sole proprietor health care provider with primary practice located at 2157 Greenbrier St , Charleston WV 25311-9623. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Long, Genieva can be contacted via phone (304) 344-5924.

Contact Information

Primary practice address
2157 Greenbrier St Charleston WV 25311-9623
Phone: (304) 344-5924
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 27117 West Virginia

Profile Details

NPI number 1679213292
LBN Legal business name Long, Genieva
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2022
Last updated Mar 31st, 2022 - about 2 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 1679213292 NPPES
West Virginia MEDICAID 1255349726

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