Shaw, Heidi Jean

Shaw, Heidi Jean is an individual health care provider with primary practice located at 111 Triplex St. , Pine Grove WV 26419. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Shaw, Heidi Jean can be contacted via phone (304) 815-1711.

Contact Information

Primary practice address
111 Triplex St. Pine Grove WV 26419
Phone: (304) 815-1711
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1881492155
LBN Legal business name Shaw, Heidi Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2025
Last updated Mar 4th, 2025 - about last year

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 1881492155 NPPES
West Virginia MEDICAID 1356607394
West Virginia MEDICAID 1821206228
West Virginia MEDICAID 125553494

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