Alley, Tina

Alley, Tina is an individual health care provider with primary practice located at 1277 Stoney Ridge Rd , Bluefield WV 24701-4266. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Alley, Tina can be contacted via phone (304) 920-5107.

Contact Information

Primary practice address
1277 Stoney Ridge Rd Bluefield WV 24701-4266
Phone: (304) 920-5107
Fax: (304) 425-7111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 1568796027 West Virginia

Profile Details

NPI number 1114524857
LBN Legal business name Alley, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2020
Last updated Dec 9th, 2020 - about 4 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 1114524857 NPPES
West Virginia MEDICAID 55-6025355

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