Underwood, Lila Kay

Underwood, Lila Kay is an individual health care provider with primary practice located at 200 12Th Street Ext , Princeton WV 24740-2329. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Underwood, Lila Kay can be contacted via phone (304) 425-9541.

Contact Information

Primary practice address
200 12Th Street Ext Princeton WV 24740-2329
Phone: (304) 425-9541
Fax: (681) 282-5558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1700450327
LBN Legal business name Underwood, Lila Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2021
Last updated May 18th, 2021 - about 3 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 1700450327 NPPES
West Virginia MEDICAID 0005489000

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