Alicia Pate in Lafayette - Medical

Alicia Pate - NPI 1457358913

Alicia Pate is a Medical in Lafayette, Indiana. Alicia Pate practices all healthcare services and medical treatments related to Medical. The NPI Number for Alicia Pate is 1457358913. The last update date is 2014-12-02.

Alicia Pate's current location address is 3900 St Francis Way Ste 201, Lafayette, Indiana. You can contact this provider via phone number 7654467981. The mailing address for Alicia Pate is 3900 St Francis Way Ste 201, Lafayette, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Alicia Pate
Address 3900 St Francis Way Ste 201, Lafayette, Indiana
Phone Number 7654467981
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1457358913
Provider Enumeration Date 2005-06-30
Last Updated Date 2014-12-02

Provider Mailing Address Detail

Address 3900 St Francis Way Ste 201
City Lafayette
State Indiana (IN)
Post Code 4790549230
Phone Number 7654467981
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 85002324
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
741060 IN ANTHEM PROVIDER NUMBER
85002324 IL LICENSE
2005016213 MO LICENSE

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FAQs about Alicia Pate

Could you provide the complete address where Alicia Pate is physically located?

The Alicia Pate is situated at the following address: 3900 St Francis Way Ste 201, Lafayette, IN 4790549230.

Could you please share the complete physical location address where Alicia Pate's facilities are situated?

The facilities of Alicia Pate are physically located at the following address: 3900 St Francis Way Ste 201, Lafayette, IN, 4790549230.

On what date was the 1457358913 assigned to Alicia Pate?

The Alicia Pate was issued its 1457358913 on 2005-06-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Alicia Pate receive the assignment of its 1457358913 from the Centers for Medicare & Medicaid Services?

The Alicia Pate was issued its 1457358913 by the Centers for Medicare & Medicaid Services on 2005-06-30.

As of what date was the information pertaining to Alicia Pate, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Alicia Pate, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-12-02.

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