Provider Demographics
NPI:1053029736
Name:COX, SHEILA MAUREEN
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:MAUREEN
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 25TH ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3906
Mailing Address - Country:US
Mailing Address - Phone:304-639-2779
Mailing Address - Fax:
Practice Address - Street 1:46 25TH ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3906
Practice Address - Country:US
Practice Address - Phone:304-639-2779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV125552494Medicaid
WV1356607394Medicaid
WV1821206228Medicaid