Divers, Allison K
Divers, Allison K is an individual health care provider with primary practice located at 4320 Brambleton Ave Suite B , Roanoke VA 24018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Divers, Allison K can be contacted via phone (540) 345-3556.Contact Information
Primary practice address
4320 Brambleton Ave Suite B
Roanoke VA 24018
Phone: (540) 345-3556
Fax: (540) 342-2193
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0101231913 | Virginia |
Profile Details
NPI number | 1770549826 |
---|---|
LBN Legal business name | Divers, Allison K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770549826 | NPPES |
Virginia | Other | 184334 | SOUTHERN HEALTH |
Virginia | Other | 184066 | SOUTHERN HEALTH |
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