Shupe, Alicia Ann
Shupe, Alicia Ann is an individual health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Shupe, Alicia Ann can be contacted via phone (801) 373-4760.Contact Information
Primary practice address
750 N Freedom Blvd
Provo UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 7753217-6006 | Utah |
Profile Details
| NPI number | 1326343476 |
|---|---|
| LBN Legal business name | Shupe, Alicia Ann |
| Credentials | SUDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2011 |
| Last updated | Jun 5th, 2020 - about 4 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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