Campbell, Annie Jean

Campbell, Annie Jean is an individual health care provider with primary practice located at 9147 National Rd , Valley Grove WV 26060-8968. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Campbell, Annie Jean can be contacted via phone (304) 547-0707.

Contact Information

Primary practice address
9147 National Rd Valley Grove WV 26060-8968
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1942070974
LBN Legal business name Campbell, Annie Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2024
Last updated Jan 2nd, 2024 - 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 1942070974 NPPES
West Virginia MEDICAID 125553494
West Virginia MEDICAID 1821206228
West Virginia MEDICAID 1356607394

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