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
Phone: (304) 547-0707
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942070974 | NPPES |
| West Virginia | MEDICAID | 125553494 | |
| West Virginia | MEDICAID | 1821206228 | |
| West Virginia | MEDICAID | 1356607394 |
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