White, Alyssa Rose

White, Alyssa Rose is an individual health care provider with primary practice located at 12812 Old Glenn Hwy Ste A8 , Eagle River AK 99577-7003. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. White, Alyssa Rose can be contacted via phone (907) 696-8020.

Contact Information

Primary practice address
12812 Old Glenn Hwy Ste A8 Eagle River AK 99577-7003
Phone: (907) 696-8020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 1690766 Alaska

Profile Details

NPI number 1053983668
LBN Legal business name White, Alyssa Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2021
Last updated Jul 13th, 2021 - about 3 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 1053983668 NPPES
Alaska Other 7625641 DRIVERS LICENSE

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