Souvignier, Alicia Ruth
Souvignier, Alicia Ruth is an individual health care provider with primary practice located at 1650 Cochrane Cir Unit Meddac , Fort Carson CO 80913-4604. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Souvignier, Alicia Ruth can be contacted via phone (719) 524-5218.Contact Information
Primary practice address
1650 Cochrane Cir Unit Meddac
Fort Carson CO 80913-4604
Phone: (719) 524-5218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2934 | New Mexico |
Profile Details
| NPI number | 1679562417 |
|---|---|
| LBN Legal business name | Souvignier, Alicia Ruth |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Nov 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679562417 | NPPES |
| Colorado | MEDICAID | 97451070 | |
| Colorado | MEDICAID | 927981 | |
| Colorado | MEDICAID | 21272263 |
Popular Providers
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Meade, Karen M
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