Individual
ALAN LOUIS DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD CCC-A
Contact information
Practice address
508 NEW HOPE ROAD, SUITE #19, PRINCETON, WV 24740-2272
(304) 487-2487
(304) 431-3367
Mailing address
508 NEW HOPE ROAD, SUITE #19, PRINCETON, WV 24740-2272
(304) 487-2487
(304) 431-3367
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
2201000219
VA
231H00000X
Audiologist
447
WV
231H00000X
Audiologist
Primary
A0074
WV
Other
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
—
Enumeration date
03/14/2006
Last updated
05/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us