Dibasilio, Alexandra Nicole

Dibasilio, Alexandra Nicole is an individual health care provider with primary practice located at 315 Pope Ave Apt 8 , Fort Leavenworth KS 66027-1383. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Dibasilio, Alexandra Nicole can be contacted via phone (410) 960-5206.

Contact Information

Primary practice address
315 Pope Ave Apt 8 Fort Leavenworth KS 66027-1383
Phone: (410) 960-5206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R249243 Maryland

Profile Details

NPI number 1013640093
LBN Legal business name Dibasilio, Alexandra Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2022
Last updated Jul 6th, 2022 - about 3 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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