Takubo, Victoria Leigh

Takubo, Victoria Leigh is an individual health care provider with primary practice located at 4610 Kanawha Ave Sw Ste 401 , South Charleston WV 25309-1367. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Takubo, Victoria Leigh can be contacted via phone (304) 768-7368.

Contact Information

Primary practice address
4610 Kanawha Ave Sw Ste 401 South Charleston WV 25309-1367
Phone: (304) 768-7368
Fax: (304) 768-1829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 01484 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1484 West Virginia

Profile Details

NPI number 1194032227
LBN Legal business name Takubo, Victoria Leigh
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2010
Last updated Jan 4th, 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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