Pate, Alicia

Pate, Alicia is an individual health care provider with primary practice located at 3900 St Francis Way Ste 201 , Lafayette IN 47905-4923. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Pate, Alicia can be contacted via phone (765) 446-7981.

Contact Information

Primary practice address
3900 St Francis Way Ste 201 Lafayette IN 47905-4923
Phone: (765) 446-7981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085002324 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 08502324 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10001351A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10001351A Indiana

Profile Details

NPI number 1457358913
LBN Legal business name Pate, Alicia
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Dec 2nd, 2014 - about 10 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 1457358913 NPPES
Indiana Other 000000741060 ANTHEM PROVIDER NUMBER
Indiana Other 085002324 ANTHEM PROVIDER NUMBER
Indiana Other 2005016213 ANTHEM PROVIDER NUMBER

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