Abbott, Laura Evelyn

Abbott, Laura Evelyn is an individual health care provider with primary practice located at 6404 Potomac Highland Trail , Green Bank WV 24944-6404. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Abbott, Laura Evelyn can be contacted via phone (304) 456-5433.

Contact Information

Primary practice address
6404 Potomac Highland Trail Green Bank WV 24944-6404
Fax: (304) 456-5439
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4000 West Virginia

Profile Details

NPI number 1093061608
LBN Legal business name Abbott, Laura Evelyn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2012
Last updated Aug 25th, 2022 - about 4 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 1093061608 NPPES
West Virginia Other 4000 WV STATE LICENSE

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