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Contact Information

ALICIA C BACH, MD
404 N KEENE ST
COLUMBIA, MO65201-6626
 Phone: 573-882-3961
 Fax: 573-884-4277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ALICIA C BACH · (Female)

NPI # 1629455365
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2015
Last updated 08/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2018009380
  • MO Medicaid 200062622
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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