Tedrow, Stephanie Marie

Tedrow, Stephanie Marie is an individual health care provider with primary practice located at 469 Alley Addition St , Pine Grove WV 26419-8211. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Tedrow, Stephanie Marie can be contacted via phone (304) 815-2389.

Contact Information

Primary practice address
469 Alley Addition St Pine Grove WV 26419-8211
Phone: (304) 815-2389
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1255112173
LBN Legal business name Tedrow, Stephanie Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2023
Last updated Oct 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255112173 NPPES
West Virginia MEDICAID 1356607394
West Virginia MEDICAID 125553494
West Virginia MEDICAID 1821206228

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