Desmond, Alan Louis
Desmond, Alan Louis is an individual health care provider with primary practice located at 508 New Hope Road Suite #19, Princeton WV 24740-2272. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Desmond, Alan Louis can be contacted via phone (304) 487-2487.Contact Information
Primary practice address
508 New Hope Road Suite #19
Princeton WV 24740-2272
Phone: (304) 487-2487
Fax: (304) 431-3367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A0074 | West Virginia |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 2201000219 | Virginia |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 447 | West Virginia |
Profile Details
| NPI number | 1275501439 |
|---|---|
| LBN Legal business name | Desmond, Alan Louis |
| Credentials | AUD CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | May 23rd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275501439 | NPPES |
| West Virginia | MEDICAID | 9460000000 | |
| West Virginia | Other | DE0534283 | |
| West Virginia | MEDICAID | 9450513 | |
| West Virginia | Other | DE0534282 | |
| West Virginia | Other | 640000237 |
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