Pullen, Mary Alice
Pullen, Mary Alice is an sole proprietor health care provider with primary practice located at 5170 U.S. Route 60 East , Huntington WV 25705. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Pullen, Mary Alice can be contacted via phone (304) 399-2200.Contact Information
Primary practice address
5170 U.S. Route 60 East
Huntington WV 25705
Phone: (304) 399-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 583 | West Virginia |
Profile Details
| NPI number | 1629132295 |
|---|---|
| LBN Legal business name | Pullen, Mary Alice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1629132295 | NPPES |
| West Virginia | MEDICAID | 3810006340 |
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