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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1679562417 NPPES
Colorado MEDICAID 97451070
Colorado MEDICAID 927981
Colorado MEDICAID 21272263

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