Alickaj, Alberta
Alickaj, Alberta is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Alickaj, Alberta can be contacted via phone (717) 531-6263.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (717) 531-6263
Fax: (717) 531-4328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 265632 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MD461590 | Pennsylvania |
Profile Details
| NPI number | 1417184300 |
|---|---|
| LBN Legal business name | Alickaj, Alberta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2009 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1417184300 | NPPES |
| Pennsylvania | Other | 589233 | MEDICARE |
| Pennsylvania | MEDICAID | 1033386640001 | MEDICARE |
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