Dewilde, Alicia Naomi
Dewilde, Alicia Naomi is an individual health care provider with primary practice located at 8377 E Hartford Dr , Scottsdale AZ 85255-5685. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Pediatric Chiropractor. Chiropractic Providers / Chiropractor is her primary health care specialty. Dewilde, Alicia Naomi can be contacted via phone (800) 613-0922.Contact Information
Primary practice address
8377 E Hartford Dr
Scottsdale AZ 85255-5685
Phone: (800) 613-0922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 9240 | Arizona |
| Chiropractic Providers / Chiropractor | 111N00000X | 038.013893 | Illinois |
| Chiropractic Providers / Pediatric Chiropractor | 111NP0017X | 9240 | Arizona |
Profile Details
| NPI number | 1710683172 |
|---|---|
| LBN Legal business name | Dewilde, Alicia Naomi |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2023 |
| Last updated | May 22nd, 2023 - about 3 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 | 1710683172 | NPPES |
| Arizona | Other | 9240 | STATE OF ARIZONA BOARD OF CHIROPRACTIC EXAMINERS |
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