Healthcare Provider Details

I. General information

NPI: 1063003457
Provider Name (Legal Business Name): MARGARET COLLIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2021
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 N HIGH ST
MARTINSBURG WV
25404-4419
US

IV. Provider business mailing address

217 N HIGH ST
MARTINSBURG WV
25404-4419
US

V. Phone/Fax

Practice location:
  • Phone: 304-263-8873
  • Fax: 304-596-2254
Mailing address:
  • Phone: 304-263-8873
  • Fax: 304-596-2254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: