Everson, Carol Marie
Everson, Carol Marie is an individual health care provider with primary practice located at 116 Mcclellan Rd , Philippi WV 26416-8076. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Everson, Carol Marie can be contacted via phone (304) 457-2800.Contact Information
Primary practice address
116 Mcclellan Rd
Philippi WV 26416-8076
Phone: (304) 457-2800
Fax: (304) 457-4011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1344 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 007049 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 415 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1344 | West Virginia |
Profile Details
| NPI number | 1851567093 |
|---|---|
| LBN Legal business name | Everson, Carol Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2008 |
| Last updated | Jan 28th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851567093 | NPPES |
| West Virginia | MEDICAID | 3810013903 |
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