Walter Spouse
Technician, Personal Care Attendant in Clarksburg, WV. Individual provider (NPI-1).
NPI number1033947239
StatusActive
Last updated in NPPESJul 22, 2024
Details
- NPI
- 1033947239
- Entity type
- Individual (NPI-1)
- Name
- Walter Spouse
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2024
- Certification date
- Jul 22, 2024
- Last updated
- Jul 22, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
445 W Main St Ste 212dClarksburg, WV 26301-2843
Phone 304-842-0200
Mailing address
445 W Main St Ste 212dClarksburg, WV 26301-2843
Phone 304-842-0200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 322 Personal Care Attendant providers in Clarksburg · All 1,434 providers in Clarksburg
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