Detroye, Alisha T

Detroye, Alisha T is an individual health care provider with primary practice located at 905 Phillips Ave , High Point NC 27262-7075. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Detroye, Alisha T can be contacted via phone (336) 802-2040.

Contact Information

Primary practice address
905 Phillips Ave High Point NC 27262-7075
Phone: (336) 802-2040
Fax: (336) 802-2041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 104035 North Carolina

Profile Details

NPI number 1699750729
LBN Legal business name Detroye, Alisha T
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Aug 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699750729 NPPES
North Carolina Other 7264734 AETNA
North Carolina Other D5159 AETNA

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