Alexeyenko, Alexandre
Alexeyenko, Alexandre is an individual health care provider with primary practice located at 24 State St , Lynn MA 01901-1505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Alexeyenko, Alexandre can be contacted via phone (781) 581-6181.Contact Information
Primary practice address
24 State St
Lynn MA 01901-1505
Phone: (781) 581-6181
Fax: (781) 599-3229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 77955 | Massachusetts |
Profile Details
| NPI number | 1568464279 |
|---|---|
| LBN Legal business name | Alexeyenko, Alexandre |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Mar 26th, 2009 - about 15 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 | 1568464279 | NPPES |
| Massachusetts | MEDICAID | 3113485 |
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