Munoz, Alisia

Munoz, Alisia is an individual health care provider with primary practice located at 1104 E Grace St , Rensselaer IN 47978-3211. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Munoz, Alisia can be contacted via phone (219) 866-5141.

Contact Information

Primary practice address
1104 E Grace St Rensselaer IN 47978-3211
Fax: (219) 866-3234
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01069207A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01069207A Indiana

Profile Details

NPI number 1720241151
LBN Legal business name Munoz, Alisia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Aug 14th, 2023 - 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 1720241151 NPPES
Indiana MEDICAID 201018990

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