Beck, Alicia D
Beck, Alicia D is an individual health care provider with primary practice located at 455 Boston Post Rd Ste 10 , Old Saybrook CT 06475-1554. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Beck, Alicia D can be contacted via phone (860) 388-9799.Contact Information
Primary practice address
455 Boston Post Rd Ste 10
Old Saybrook CT 06475-1554
Phone: (860) 388-9799
Fax: (860) 388-6626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 002637 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00662 | Rhode Island |
Profile Details
| NPI number | 1477838324 |
|---|---|
| LBN Legal business name | Beck, Alicia D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2011 |
| Last updated | Mar 4th, 2016 - about 10 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 | 1477838324 | NPPES |
| Connecticut | Other | 2367 | LICENSE |
| Connecticut | Other | PA00662 | LICENSE |
| Connecticut | Other | 002637 | LICENSE |
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