Nuckols, Angela Dawn
Nuckols, Angela Dawn is an sole proprietor health care provider with primary practice located at 401 S Queen St , Martinsburg WV 25401-3233. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Nuckols, Angela Dawn can be contacted via phone (304) 264-5055.Contact Information
Primary practice address
401 S Queen St
Martinsburg WV 25401-3233
Phone: (304) 264-5055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | West Virginia |
Profile Details
| NPI number | 1811160633 |
|---|---|
| LBN Legal business name | Nuckols, Angela Dawn |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2008 |
| Last updated | Apr 12th, 2008 - about 17 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 | 1811160633 | NPPES |
| West Virginia | MEDICAID | 7403022000 |
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