Maynor, Nicole

Maynor, Nicole is an individual health care provider with primary practice located at 1 Avenue C Ste 110 , Madison WV 25130-1100. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Maynor, Nicole can be contacted via phone (304) 369-6400.

Contact Information

Primary practice address
1 Avenue C Ste 110 Madison WV 25130-1100
Phone: (304) 369-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1578171013
LBN Legal business name Maynor, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2020
Last updated Aug 17th, 2020 - about 5 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 1578171013 NPPES
West Virginia MEDICAID 1342

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