Desmond, Alan Louis

Desmond, Alan Louis is an individual health care provider with primary practice located at 508 New Hope Road Suite #19, Princeton WV 24740-2272. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Desmond, Alan Louis can be contacted via phone (304) 487-2487.

Contact Information

Primary practice address
508 New Hope Road Suite #19 Princeton WV 24740-2272
Phone: (304) 487-2487
Fax: (304) 431-3367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A0074 West Virginia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201000219 Virginia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 447 West Virginia

Profile Details

NPI number 1275501439
LBN Legal business name Desmond, Alan Louis
Credentials AUD CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated May 23rd, 2013 - about 12 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 1275501439 NPPES
West Virginia MEDICAID 9460000000
West Virginia Other DE0534283
West Virginia MEDICAID 9450513
West Virginia Other DE0534282
West Virginia Other 640000237

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