Lilly, Paulette

Lilly, Paulette is an sole proprietor health care provider with primary practice located at 105 Adair St , Beckley WV 25801-3733. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Lilly, Paulette can be contacted via phone (304) 256-4712.

Contact Information

Primary practice address
105 Adair St Beckley WV 25801-3733
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X West Virginia

Profile Details

NPI number 1013189018
LBN Legal business name Lilly, Paulette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2008
Last updated Apr 14th, 2008 - about 18 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 1013189018 NPPES
West Virginia MEDICAID 0155661000

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