Ippolito, Alice Rose
Ippolito, Alice Rose is an sole proprietor health care provider with primary practice located at 125 Half Mile Rd Ste 200 , Red Bank NJ 07701-6749. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ippolito, Alice Rose can be contacted via phone (855) 832-6727.Contact Information
Primary practice address
125 Half Mile Rd Ste 200
Red Bank NJ 07701-6749
Phone: (855) 832-6727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1659978559 |
|---|---|
| LBN Legal business name | Ippolito, Alice Rose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2020 |
| Last updated | Jan 11th, 2021 - about 3 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 | 1659978559 | NPPES |
| New Jersey | MEDICAID | 03291991 |
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