Addis, Desiree
Addis, Desiree is an individual health care provider with primary practice located at 1 Med Center Dr , Clarksburg WV 26301-4155. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Addis, Desiree can be contacted via phone (304) 623-7640.Contact Information
Primary practice address
1 Med Center Dr
Clarksburg WV 26301-4155
Phone: (304) 623-7640
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X |
Profile Details
| NPI number | 1700567500 |
|---|---|
| LBN Legal business name | Addis, Desiree |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2023 |
| Last updated | Jul 26th, 2023 - 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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