Buel W Gillenwater Jr.
Individual provider Active NPI Personal Care Attendant · Yawkey, WV
NPI 1154936342 · NPPES record last updated May 10, 2022
Key facts
- NPI
- 1154936342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 70 Gillenwater Dr
Yawkey, WV 25573-2000 - Phone
- (304) 524-2107
- NPI assigned
- Sep 14, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
70 Gillenwater Dr
Yawkey, WV 25573-2000
Mailing address
70 Gillenwater Dr
Yawkey, WV 25573-2000
Phone (304) 524-2107
Other providers in Yawkey, WV
- Iris Dillon
- Pamela Leanne Fowler
- Alexis E Gillenwater
- Micheale Gillenwater
- Katherine L Kilburn
- Jessica L Pauley
- Evelyn Sue Sadler
- Amy Rachelle Sizemore
All providers in Yawkey, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.