Maynard, Alyssa Beth

Maynard, Alyssa Beth is an sole proprietor health care provider with primary practice located at 105 Adair St , Beckley WV 25801-3733. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Maynard, Alyssa Beth can be contacted via phone (304) 256-4500.

Contact Information

Primary practice address
105 Adair St Beckley WV 25801-3733
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 58047 West Virginia

Profile Details

NPI number 1942467550
LBN Legal business name Maynard, Alyssa Beth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 16 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 1942467550 NPPES
West Virginia MEDICAID 3810009015

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