Divers, Allison K

Divers, Allison K is an individual health care provider with primary practice located at 4320 Brambleton Ave Suite B , Roanoke VA 24018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Divers, Allison K can be contacted via phone (540) 345-3556.

Contact Information

Primary practice address
4320 Brambleton Ave Suite B Roanoke VA 24018
Phone: (540) 345-3556
Fax: (540) 342-2193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101231913 Virginia

Profile Details

NPI number 1770549826
LBN Legal business name Divers, Allison K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1770549826 NPPES
Virginia Other 184334 SOUTHERN HEALTH
Virginia Other 184066 SOUTHERN HEALTH

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