Asencio, Alida

Asencio, Alida is an individual health care provider with primary practice located at Hwy 77/75 , Winnebago NE 68067-0767. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Asencio, Alida can be contacted via phone (402) 878-2231.

Contact Information

Primary practice address
Hwy 77/75 Winnebago NE 68067-0767
Phone: (402) 878-2231
Fax: (402) 878-2237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5174 South Dakota

Profile Details

NPI number 1891882668
LBN Legal business name Asencio, Alida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 12th, 2013 - about 12 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 1891882668 NPPES
North Dakota MEDICAID 01063

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