Black, Alyssa Nicole

Black, Alyssa Nicole is an individual health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Black, Alyssa Nicole can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
750 N Freedom Blvd Provo UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1821635095
LBN Legal business name Black, Alyssa Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2019
Last updated Dec 5th, 2019 - about 6 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.

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