Alexander, Theresa
Alexander, Theresa is an individual health care provider with primary practice located at 1005 E Lasalle Ave , South Bend IN 46617-2818. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Alexander, Theresa can be contacted via phone (574) 245-7503.Contact Information
Primary practice address
1005 E Lasalle Ave
South Bend IN 46617-2818
Phone: (574) 245-7503
Fax: (574) 245-7502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12009924 | Indiana |
Profile Details
| NPI number | 1588683791 |
|---|---|
| LBN Legal business name | Alexander, Theresa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Mar 18th, 2019 - about 6 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 | 1588683791 | NPPES |
| Indiana | Other | 12009924 | INDIANA LISCENSE |
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