Bommersbach, Alicia R

Bommersbach, Alicia R is an individual health care provider with primary practice located at 295 Essjay Rd , Williamsville NY 14221-8216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bommersbach, Alicia R can be contacted via phone (716) 630-1022.

Contact Information

Primary practice address
295 Essjay Rd Williamsville NY 14221-8216
Phone: (716) 630-1022
Fax: (716) 250-5958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 011319 New York

Profile Details

NPI number 1245244516
LBN Legal business name Bommersbach, Alicia R
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Apr 4th, 2023 - 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 1245244516 NPPES
New York Other 000528705001 HEALTH NOW
New York Other 9513979 HEALTH NOW
New York Other 00027739701 HEALTH NOW
New York MEDICAID 02808822 HEALTH NOW

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