Bach, Alicia Caryn
Bach, Alicia Caryn is an individual health care provider with primary practice located at 404 N Keene St , Columbia MO 65201-6626. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Bach, Alicia Caryn can be contacted via phone (573) 882-3961.Contact Information
Primary practice address
404 N Keene St
Columbia MO 65201-6626
Phone: (573) 882-3961
Fax: (573) 884-4277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 2018009380 | Missouri |
Profile Details
| NPI number | 1629455365 |
|---|---|
| LBN Legal business name | Bach, Alicia Caryn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2015 |
| Last updated | Aug 16th, 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 | 1629455365 | NPPES |
| Missouri | MEDICAID | 200062622 |
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