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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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