Martino, Alyse

Martino, Alyse is an individual health care provider with primary practice located at 9000 Coombs Farm Rd , Morgantown WV 26508-1149. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Martino, Alyse can be contacted via phone (304) 599-8000.

Contact Information

Primary practice address
9000 Coombs Farm Rd Morgantown WV 26508-1149
Phone: (304) 599-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 83800 South Carolina

Profile Details

NPI number 1801328471
LBN Legal business name Martino, Alyse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2017
Last updated Oct 2nd, 2024 - about 2 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 1801328471 NPPES
South Carolina MEDICAID 838008

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