Alvarado, Alexis C

Alvarado, Alexis C is an individual health care provider with primary practice located at 8687 Connecticut St Ste D, Merillville IL 46410-5541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Alvarado, Alexis C can be contacted via phone (219) 750-9630.

Contact Information

Primary practice address
8687 Connecticut St Ste D Merillville IL 46410-5541
Phone: (219) 750-9630
Fax: (219) 750-9451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-004592 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10001662A Indiana

Profile Details

NPI number 1174861090
LBN Legal business name Alvarado, Alexis C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2013
Last updated Nov 6th, 2015 - 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 1174861090 NPPES
Indiana MEDICAID 201235280

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