Wamsley, Ravenlou
Wamsley, Ravenlou is an individual health care provider with primary practice located at 174 Lmah Center Rd , Logan WV 25601-4058. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Wamsley, Ravenlou can be contacted via phone (304) 792-7130.Contact Information
Primary practice address
174 Lmah Center Rd
Logan WV 25601-4058
Phone: (304) 792-7130
Fax: (304) 896-5184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 22-9154 | West Virginia |
Profile Details
| NPI number | 1134845373 |
|---|---|
| LBN Legal business name | Wamsley, Ravenlou |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2022 |
| Last updated | Oct 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134845373 | NPPES |
| West Virginia | Other | 22-9154 | WV CERTIFICATION BOARD FOR ADDICTION AND PREVENTION PROFESSIONALS |
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