Magnuson, Alise

Magnuson, Alise is an individual health care provider with primary practice located at 1103 Circulo Mercado , Nogales AZ 85648-6248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Magnuson, Alise can be contacted via phone (520) 281-1550.

Contact Information

Primary practice address
1103 Circulo Mercado Nogales AZ 85648-6248
Phone: (520) 281-1550
Fax: (520) 281-1112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101233351 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 63116 Arizona

Profile Details

NPI number 1508864638
LBN Legal business name Magnuson, Alise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated May 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508864638 NPPES
Arizona MEDICAID 098235

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