Homen, Alicia

Homen, Alicia is an individual health care provider with primary practice located at 205 Burlington Rd , Bedford MA 01730-1406. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Homen, Alicia can be contacted via phone (781) 761-5145.

Contact Information

Primary practice address
205 Burlington Rd Bedford MA 01730-1406
Phone: (781) 761-5145
Fax: (781) 275-7206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN2314178 Massachusetts

Profile Details

NPI number 1528561909
LBN Legal business name Homen, Alicia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2018
Last updated Mar 13th, 2018 - about 7 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 1528561909 NPPES
Massachusetts Other 042611055 TAX ID
Massachusetts Other M18633 TAX ID
Massachusetts MEDICAID 1303287 TAX ID
Massachusetts Other 99618201 TAX ID
Massachusetts Other Y10074 TAX ID
Massachusetts Other 1004745 TAX ID
Massachusetts Other 0000023532 TAX ID
Massachusetts Other 1303287 TAX ID

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