Andrew Michael Alfred

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Morgantown, WV

NPI 1407615982 · NPPES record last updated Mar 18, 2024

Key facts

NPI
1407615982
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone
(304) 598-4122
NPI assigned
Mar 18, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1 Medical Center Dr
Morgantown, WV 26506-1200

Mailing address

3255 Stonebridge CT Apt 8
Portage, MI 49024-4709
Phone (614) 949-5690

Other providers in Morgantown, WV

All providers in Morgantown, WV · Student in an Organized Health Care Education/Training Program in West Virginia

Sources for this page

Verify at the official NPI Registry.