Loretto, Dana

Loretto, Dana is an individual health care provider with primary practice located at 87 Swierkos Dr , Moundsville WV 26041-4209. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Loretto, Dana can be contacted via phone (304) 843-2306.

Contact Information

Primary practice address
87 Swierkos Dr Moundsville WV 26041-4209
Fax: (304) 843-2308
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X West Virginia

Profile Details

NPI number 1134737075
LBN Legal business name Loretto, Dana
Credentials SW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2020
Last updated Jul 16th, 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 1134737075 NPPES
West Virginia MEDICAID 1114118973
West Virginia MEDICAID 1710243753
West Virginia MEDICAID 1255523494

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