Underwood, Karen M.
Underwood, Karen M. is an sole proprietor health care provider with primary practice located at 111 Fayette Ave , Fayetteville WV 25840-1219. 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. Underwood, Karen M. can be contacted via phone (304) 574-1176.Contact Information
Primary practice address
111 Fayette Ave
Fayetteville WV 25840-1219
Phone: (304) 574-1176
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-0689 | West Virginia |
Profile Details
| NPI number | 1932398666 |
|---|---|
| LBN Legal business name | Underwood, Karen M. |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2007 |
| Last updated | Oct 18th, 2007 - about 19 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 | 1932398666 | NPPES |
| West Virginia | MEDICAID | 0012397000 |
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