Altice, Mary Kingery

Altice, Mary Kingery is an individual health care provider with primary practice located at 611 Mcdowell Ave Nw , Roanoke VA 24016-1225. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Altice, Mary Kingery can be contacted via phone (540) 343-3007.

Contact Information

Primary practice address
611 Mcdowell Ave Nw Roanoke VA 24016-1225
Phone: (540) 343-3007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701004847 Virginia

Profile Details

NPI number 1740500941
LBN Legal business name Altice, Mary Kingery
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2010
Last updated Jun 10th, 2010 - about 14 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 1740500941 NPPES
Virginia MEDICAID 1437137734

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