Spry, Alisia

Spry, Alisia is an individual health care provider with primary practice located at 69 Avenue B , Madison WV 25130-1162. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Spry, Alisia can be contacted via phone (304) 369-8245.

Contact Information

Primary practice address
69 Avenue B Madison WV 25130-1162
Phone: (304) 369-8245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 37791 West Virginia

Profile Details

NPI number 1902144009
LBN Legal business name Spry, Alisia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Jan 24th, 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 1902144009 NPPES
West Virginia MEDICAID 3810010677

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