Bost, Alicia M
Bost, Alicia M is an individual health care provider with primary practice located at 2315 Honeysuckle Ln , Russellville AR 72801-5526. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bost, Alicia M can be contacted via phone (479) 858-6144.Contact Information
Primary practice address
2315 Honeysuckle Ln
Russellville AR 72801-5526
Phone: (479) 858-6144
Fax: (479) 858-6144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR1799 | Arkansas |
Profile Details
| NPI number | 1053538587 |
|---|---|
| LBN Legal business name | Bost, Alicia M |
| Credentials | M.S.O.T.R.L. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053538587 | NPPES |
| Arkansas | Other | 5Y829 | BLUE CROSS BLUE SHIELD |
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