Click, Alisa J

Click, Alisa J is an individual health care provider with primary practice located at 632 Slate Ave , Owingsville KY 40360-2206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Click, Alisa J can be contacted via phone (606) 674-6386.

Contact Information

Primary practice address
632 Slate Ave Owingsville KY 40360-2206
Fax: (606) 674-3096
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3814P Kentucky

Profile Details

NPI number 1649251448
LBN Legal business name Click, Alisa J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Apr 20th, 2009 - about 15 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 1649251448 NPPES
Kentucky MEDICAID 78009792

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