Nicely, Ann Louise
Nicely, Ann Louise is an individual health care provider with primary practice located at 60 Roxbury Rd Whitehall Medical, Pllc, Fairmont WV 26554-8223. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nicely, Ann Louise can be contacted via phone (304) 363-6600.Contact Information
Primary practice address
60 Roxbury Rd Whitehall Medical, Pllc
Fairmont WV 26554-8223
Phone: (304) 363-6600
Fax: (304) 363-7700
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 00375 | West Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 464 | West Virginia |
Profile Details
NPI number | 1265588271 |
---|---|
LBN Legal business name | Nicely, Ann Louise |
Credentials | PHYSICIAN ASSISTANT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2007 |
Last updated | May 6th, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265588271 | NPPES |
West Virginia | Other | S99643 | WV WORKER'S COMP |
West Virginia | Other | P00455326 | WV WORKER'S COMP |
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