Macioch, Alisia Kaye

Macioch, Alisia Kaye is an sole proprietor health care provider with primary practice located at 1240 County Road B2 W , Roseville MN 55113-4338. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Macioch, Alisia Kaye can be contacted via phone (651) 301-2279.

Contact Information

Primary practice address
1240 County Road B2 W Roseville MN 55113-4338
Phone: (651) 301-2279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 3138 Minnesota

Profile Details

NPI number 1568998482
LBN Legal business name Macioch, Alisia Kaye
Credentials M.S., LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2017
Last updated Feb 3rd, 2021 - about 4 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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