Horrell, Alice Marie

Horrell, Alice Marie is an individual health care provider with primary practice located at 1370 W D St , North Wilkesboro NC 28659-3506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Horrell, Alice Marie can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
1370 W D St North Wilkesboro NC 28659-3506
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2011-01878 North Carolina

Profile Details

NPI number 1164685335
LBN Legal business name Horrell, Alice Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Jan 28th, 2013 - about 11 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 1164685335 NPPES
North Carolina MEDICAID 5920421

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