Massenburg, Alicia

Massenburg, Alicia is an individual health care provider with primary practice located at 06321 Blue Star Memorial Hwy , South Haven MI 49090-7775. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Massenburg, Alicia can be contacted via phone (269) 241-2700.

Contact Information

Primary practice address
06321 Blue Star Memorial Hwy South Haven MI 49090-7775
Phone: (269) 241-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1013620400
LBN Legal business name Massenburg, Alicia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2022
Last updated Dec 30th, 2022 - 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.

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