Fletcher, Alicia G.
Fletcher, Alicia G. is an sole proprietor health care provider with primary practice located at 500 W 4Th St , Odessa TX 79761. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fletcher, Alicia G. can be contacted via phone (432) 640-2128.Contact Information
Primary practice address
500 W 4Th St
Odessa TX 79761
Phone: (432) 640-2128
Fax: (432) 640-2428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | AP119758 | Texas |
Profile Details
| NPI number | 1003119280 |
|---|---|
| LBN Legal business name | Fletcher, Alicia G. |
| Credentials | ACNS-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 10th, 2010 |
| Last updated | Dec 23rd, 2022 - about 2 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 | 1003119280 | NPPES |
| Texas | MEDICAID | 365324801 |
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