Dodson, Alicia Mary
Dodson, Alicia Mary is an individual health care provider with primary practice located at 335 Highland Ave , Cheshire CT 06410-2549. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Dodson, Alicia Mary can be contacted via phone (203) 271-3063.Contact Information
Primary practice address
335 Highland Ave
Cheshire CT 06410-2549
Phone: (203) 271-3063
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125-050696 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 055170 | Connecticut |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 055170 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125-050696 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 051170 | Connecticut |
Profile Details
| NPI number | 1396954764 |
|---|---|
| LBN Legal business name | Dodson, Alicia Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | May 13th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396954764 | NPPES |
| Connecticut | MEDICAID | 004236346 |
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