Buterbaugh, Alicia

Buterbaugh, Alicia is an sole proprietor health care provider with primary practice located at 2510 Commons Blvd Ste 160 , Beavercreek OH 45431-3834. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Metabolic is her primary health care specialty. Buterbaugh, Alicia can be contacted via phone (937) 401-7575.

Contact Information

Primary practice address
2510 Commons Blvd Ste 160 Beavercreek OH 45431-3834
Phone: (937) 401-7575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1073126389
LBN Legal business name Buterbaugh, Alicia
Credentials RD, LD, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2020
Last updated Apr 6th, 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 1073126389 NPPES
Ohio MEDICAID 0421279

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