King, Alicia D
King, Alicia D is an sole proprietor health care provider with primary practice located at 6811 Mayfield Rd Apt 686 , Mayfield Hts OH 44124-2222. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. King, Alicia D can be contacted via phone (520) 431-6457.Contact Information
Primary practice address
6811 Mayfield Rd Apt 686
Mayfield Hts OH 44124-2222
Phone: (520) 431-6457
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 150731 | Ohio |
Profile Details
NPI number | 1356844823 |
---|---|
LBN Legal business name | King, Alicia D |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 12th, 2018 |
Last updated | Jul 18th, 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 | 1356844823 | NPPES |
Ohio | MEDICAID | 34-1836284 |
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