Deitch, Alexandra

Deitch, Alexandra is an individual health care provider with primary practice located at 830 University Ave , Berkeley CA 94710-2044. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Deitch, Alexandra can be contacted via phone (510) 981-5350.

Contact Information

Primary practice address
830 University Ave Berkeley CA 94710-2044
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1518312263
LBN Legal business name Deitch, Alexandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2016
Last updated May 2nd, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518312263 NPPES
California MEDICAID 1902944796

Popular Providers