Massie, Wanda S

Massie, Wanda S is an sole proprietor health care provider with primary practice located at 3081 Cross Rd , Winchester OH 45697-9749. She recently has 5 registered licenses in different health care specialties including Agencies / Supports Brokerage, Agencies / In Home Supportive Care, Transportation Services / Private Vehicle, 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. Massie, Wanda S can be contacted via phone (937) 217-3341.

Contact Information

Primary practice address
3081 Cross Rd Winchester OH 45697-9749
Phone: (937) 217-3341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Supports Brokerage 251X00000X
Agencies / In Home Supportive Care 253Z00000X
Transportation Services / Private Vehicle 347C00000X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1003415217
LBN Legal business name Massie, Wanda S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2020
Last updated Oct 19th, 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 1003415217 NPPES
Ohio MEDICAID 0100750

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