Powell, Alicia Davette
Powell, Alicia Davette is an individual health care provider with primary practice located at 15 Parkman St Wac 812 Psychiatry Outpatient Department, Boston MA 02114-3117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Powell, Alicia Davette can be contacted via phone (617) 512-8137.Contact Information
Primary practice address
15 Parkman St Wac 812 Psychiatry Outpatient Department
Boston MA 02114-3117
Phone: (617) 512-8137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 81419 | Massachusetts |
Profile Details
| NPI number | 1497745996 |
|---|---|
| LBN Legal business name | Powell, Alicia Davette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1497745996 | NPPES |
| Massachusetts | MEDICAID | 0300040 |
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