# ALAN LOUIS DESMOND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275501439
- **Gender:** Man
- **Credential:** AUD CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 2201000219 | VA | — |
| 231H00000X | Audiologist | 447 | WV | — |
| 231H00000X | Audiologist | A0074 | WV | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 05/23/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 640000237 | RR MEDICARE PALMETTO GBA | — |
| 05 | — | 9450513 | — | VA |
| 05 | — | 9460000000 | — | WV |
| 01 | — | DE0534282 | PALMETTO GBA MEDICARE PTAN NUMBER PCTN OFFICE | — |
| 01 | — | DE0534283 | PALMETTO GBA MEDICARE PTAN NUMBER BLFD OFFICE | — |