Fourman, Alice

Fourman, Alice is an individual health care provider with primary practice located at 4464 S Dixie Hwy , Middletown OH 45005-5464. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fourman, Alice can be contacted via phone (513) 649-8008.

Contact Information

Primary practice address
4464 S Dixie Hwy Middletown OH 45005-5464
Phone: (513) 649-8008
Fax: (513) 649-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.0013062 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C.0002170-SUPV Ohio

Profile Details

NPI number 1942746987
LBN Legal business name Fourman, Alice
Credentials LPC, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2017
Last updated Mar 8th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942746987 NPPES
Ohio Other 0074861 MEDICAID-ODADAS
Ohio Other 0074946 MEDICAID-ODADAS
Ohio Other H130910 MEDICAID-ODADAS
Ohio Other 01-0693 MEDICAID-ODADAS

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