Wenger, Alyssa Nicole
Wenger, Alyssa Nicole is an individual health care provider with primary practice located at 623 E Matthews Ave , Jonesboro AR 72401-3145. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Wenger, Alyssa Nicole can be contacted via phone (870) 932-2211.Contact Information
Primary practice address
623 E Matthews Ave
Jonesboro AR 72401-3145
Phone: (870) 932-2211
Fax: (870) 972-5152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E3439 | Arkansas |
Profile Details
| NPI number | 1992733562 |
|---|---|
| LBN Legal business name | Wenger, Alyssa Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jun 9th, 2010 - about 15 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 | 1992733562 | NPPES |
| Arkansas | MEDICAID | 159061001 |
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