Shallcross, Alice E
Shallcross, Alice E is an sole proprietor health care provider with primary practice located at 242 Brunswick St , Old Town ME 04468-1613. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Shallcross, Alice E can be contacted via phone (207) 827-6128.Contact Information
Primary practice address
242 Brunswick St
Old Town ME 04468-1613
Phone: (207) 827-6128
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS16738 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO3691 | Maine |
Profile Details
| NPI number | 1073045308 |
|---|---|
| LBN Legal business name | Shallcross, Alice E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2017 |
| Last updated | Oct 16th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073045308 | NPPES |
| Florida | MEDICAID | 106254100 |
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