Massie, Annelyssa Lee

Massie, Annelyssa Lee is an sole proprietor health care provider with primary practice located at 300 N Main St , Wasilla AK 99654-7017. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Massie, Annelyssa Lee can be contacted via phone (907) 376-8020.

Contact Information

Primary practice address
300 N Main St Wasilla AK 99654-7017
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 101662 Alaska

Profile Details

NPI number 1407203276
LBN Legal business name Massie, Annelyssa Lee
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2016
Last updated May 20th, 2016 - about 10 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 1407203276 NPPES
Alaska Other 101662 STATE OF ALASKA, DEPARTMENT OF COMERCE

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