Smith, Alicia Gail
Smith, Alicia Gail is an individual health care provider with primary practice located at 5920 Mcintyre St #504, Golden CO 80403-7445. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Smith, Alicia Gail can be contacted via phone (303) 949-1250.Contact Information
Primary practice address
5920 Mcintyre St #504
Golden CO 80403-7445
Phone: (303) 949-1250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2019 | Colorado |
Profile Details
| NPI number | 1265498364 |
|---|---|
| LBN Legal business name | Smith, Alicia Gail |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jan 22nd, 2016 - about 8 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 | 1265498364 | NPPES |
| Colorado | MEDICAID | 65404785 |
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