Alicea, Ivelise
Alicea, Ivelise is an individual health care provider with primary practice located at 46 Albion St , Bridgeport CT 06605-2602. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Alicea, Ivelise can be contacted via phone (203) 330-6000.Contact Information
Primary practice address
46 Albion St
Bridgeport CT 06605-2602
Phone: (203) 330-6000
Fax: (203) 339-7193
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 010440 | Connecticut |
Profile Details
NPI number | 1225469059 |
---|---|
LBN Legal business name | Alicea, Ivelise |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 4th, 2013 |
Last updated | Dec 30th, 2019 - about 6 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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