High, Alicia Renee

High, Alicia Renee is an individual health care provider with primary practice located at 1701 E College Ave Department Of Orthopaedics, Bloomington IL 61704-2101. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. High, Alicia Renee can be contacted via phone (309) 664-3038.

Contact Information

Primary practice address
1701 E College Ave Department Of Orthopaedics Bloomington IL 61704-2101
Phone: (309) 664-3038
Fax: (309) 664-3119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085003359 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003359 Illinois

Profile Details

NPI number 1831269224
LBN Legal business name High, Alicia Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831269224 NPPES
Illinois Other IL2613049 MEDICARE INDIVIDUAL PTAN
Illinois Other IL2613 MEDICARE INDIVIDUAL PTAN
Illinois Other 085003359 MEDICARE INDIVIDUAL PTAN

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