Hairston, Leah Rae
Hairston, Leah Rae is an sole proprietor health care provider with primary practice located at 112 Lee St W , Charleston WV 25302-2342. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Hairston, Leah Rae can be contacted via phone (304) 342-0146.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4152 | West Virginia |
Profile Details
| NPI number | 1326428558 |
|---|---|
| LBN Legal business name | Hairston, Leah Rae |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2015 |
| Last updated | Jun 3rd, 2015 - about 11 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 | 1326428558 | NPPES |
| West Virginia | MEDICAID | 3810005399 |
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