Smith, Anna Marie

Smith, Anna Marie is an individual health care provider with primary practice located at 201 Baltimore Ave , Glen Dale WV 26038-1542. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Smith, Anna Marie can be contacted via phone (304) 288-2413.

Contact Information

Primary practice address
201 Baltimore Ave Glen Dale WV 26038-1542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1164202982
LBN Legal business name Smith, Anna Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2023
Last updated Sep 29th, 2023 - about last year

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 1164202982 NPPES
West Virginia MEDICAID 125553494
West Virginia MEDICAID 1821206228
West Virginia MEDICAID 1356607394

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