Bach, Alicia Caryn

Bach, Alicia Caryn is an individual health care provider with primary practice located at 404 N Keene St , Columbia MO 65201-6626. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Bach, Alicia Caryn can be contacted via phone (573) 882-3961.

Contact Information

Primary practice address
404 N Keene St Columbia MO 65201-6626
Phone: (573) 882-3961
Fax: (573) 884-4277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 2018009380 Missouri

Profile Details

NPI number 1629455365
LBN Legal business name Bach, Alicia Caryn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2015
Last updated Aug 16th, 2022 - about 3 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 1629455365 NPPES
Missouri MEDICAID 200062622

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