Nance, Alisa C

Nance, Alisa C is an individual health care provider with primary practice located at 150 Fairview Rd Suite 210, Mooresville NC 28117-9500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nance, Alisa C can be contacted via phone (704) 235-0300.

Contact Information

Primary practice address
150 Fairview Rd Suite 210 Mooresville NC 28117-9500
Phone: (704) 235-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9900622 North Carolina

Profile Details

NPI number 1265423685
LBN Legal business name Nance, Alisa C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jan 23rd, 2014 - 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 1265423685 NPPES
North Carolina MEDICAID 891197U

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