Alexander, Jack W

Alexander, Jack W is an individual health care provider with primary practice located at 701 Hewitt Blvd , Red Wing MN 55066-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Alexander, Jack W can be contacted via phone (651) 267-5000.

Contact Information

Primary practice address
701 Hewitt Blvd Red Wing MN 55066-2848
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27095 Minnesota

Profile Details

NPI number 1952376014
LBN Legal business name Alexander, Jack W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 21st, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952376014 NPPES
Minnesota MEDICAID 1952376014

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