Alexis Alexandridis Md Inc

LBN: Alexis Alexandridis Md Inc
Alexis Alexandridis Md Inc is an health care organization with primary practice located at 246 Perkins St , Sonoma CA 95476-6954. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Alexis Alexandridis Md Inc can be contacted via phone (707) 800-5242, or through Wyckoff, Carol Shannon via phone (707) 953-9084.

Contact Information

Primary practice address
246 Perkins St Sonoma CA 95476-6954
Phone: (707) 800-5242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wyckoff, Carol Shannon
Phone: (707) 953-9084

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C151087 California

Profile Details

NPI number 1487163309
LBN Legal business name Alexis Alexandridis Md Inc
DBA Doing business as
Authorized official Wyckoff, Carol Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2017
Last updated Sep 22nd, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487163309 NPPES
Other 1093925182 NPI - INDIVIDUAL

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