Horlbogen, Alyssa
Horlbogen, Alyssa is an individual health care provider with primary practice located at 585 Lincoln St , Worcester MA 01605-1906. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Horlbogen, Alyssa can be contacted via phone (508) 831-0045.Contact Information
Primary practice address
585 Lincoln St
Worcester MA 01605-1906
Phone: (508) 831-0045
Fax: (508) 753-5051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1467703967 |
|---|---|
| LBN Legal business name | Horlbogen, Alyssa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2012 |
| Last updated | Mar 21st, 2024 - about 2 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 | 1467703967 | NPPES |
| Massachusetts | MEDICAID | 1306421 | |
| Massachusetts | MEDICAID | 1308785 | |
| Massachusetts | Other | M18684 | |
| Massachusetts | Other | 22220002001 |
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