Shanks, Alicia Marie

Shanks, Alicia Marie is an individual health care provider with primary practice located at 1511 W Broad St , Columbus OH 43222-1000. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Shanks, Alicia Marie can be contacted via phone (614) 222-3525.

Contact Information

Primary practice address
1511 W Broad St Columbus OH 43222-1000
Phone: (614) 222-3525
Fax: (614) 222-3608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN302973 Ohio
Nursing Service Providers / Registered Nurse 163W00000X RN08809 Ohio

Profile Details

NPI number 1659399004
LBN Legal business name Shanks, Alicia Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 16th, 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 1659399004 NPPES
Ohio MEDICAID 2625805

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