Smith, Tabitha Dawn

Smith, Tabitha Dawn is an individual health care provider with primary practice located at 102 Stephens St , Paden City WV 26159-1519. 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, Tabitha Dawn can be contacted via phone (304) 904-7593.

Contact Information

Primary practice address
102 Stephens St Paden City WV 26159-1519
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1225776362
LBN Legal business name Smith, Tabitha Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2022
Last updated May 26th, 2022 - about 2 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 1225776362 NPPES
West Virginia MEDICAID 1356607394
West Virginia MEDICAID 1821206228
West Virginia MEDICAID 125553494

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