Elmore, Alicia

Elmore, Alicia is an individual health care provider with primary practice located at 827 E Division St , Cadillac MI 49601-2015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Elmore, Alicia can be contacted via phone (231) 775-9741.

Contact Information

Primary practice address
827 E Division St Cadillac MI 49601-2015
Fax: (231) 775-9333
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AE015895 Michigan

Profile Details

NPI number 1700887841
LBN Legal business name Elmore, Alicia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 1st, 2016 - about 8 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 1700887841 NPPES
Michigan Other 139141 PREFERRED CHOICE
Michigan Other 080166353 PREFERRED CHOICE
Michigan Other 0858317624 PREFERRED CHOICE
Michigan MEDICAID 4621647 PREFERRED CHOICE
Michigan Other 0H36303 PREFERRED CHOICE

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