Aliche, Azubike Innocent

Aliche, Azubike Innocent is an sole proprietor health care provider with primary practice located at 1325 Quincy St Ne , Washington DC 20017-2615. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Aliche, Azubike Innocent can be contacted via phone (202) 813-0454.

Contact Information

Primary practice address
1325 Quincy St Ne Washington DC 20017-2615
Phone: (202) 813-0454
Fax: (202) 813-0454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05488800 New Jersey

Profile Details

NPI number 1649540675
LBN Legal business name Aliche, Azubike Innocent
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2012
Last updated May 8th, 2024 - about last year

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 1649540675 NPPES
Virginia Other 0904009423 STATE LICENSE
Virginia MEDICAID 033478824 STATE LICENSE
Virginia MEDICAID 0602094 STATE LICENSE
Virginia Other 44SC05488800 STATE LICENSE
Virginia Other LC50080921 STATE LICENSE
Virginia Other 22945 STATE LICENSE

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