Provider Demographics
NPI:1326869223
Name:BAIRD, DORA ANN (PCSS)
Entity type:Individual
Prefix:
First Name:DORA
Middle Name:ANN
Last Name:BAIRD
Suffix:
Gender:F
Credentials:PCSS
Other - Prefix:
Other - First Name:DORA
Other - Middle Name:ANN
Other - Last Name:SHAVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:225 6TH ST
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550-1108
Mailing Address - Country:US
Mailing Address - Phone:304-273-9311
Mailing Address - Fax:
Practice Address - Street 1:225 6TH ST
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550-1108
Practice Address - Country:US
Practice Address - Phone:304-273-9311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty