Fackrell, Alexandra
Fackrell, Alexandra is an sole proprietor health care provider with primary practice located at 1975 Glenn Mitchell Dr Suite 200, Virginia Beach VA 23456. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Hospitals / Military Hospital, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Fackrell, Alexandra can be contacted via phone (757) 368-3284.Contact Information
Primary practice address
1975 Glenn Mitchell Dr Suite 200
Virginia Beach VA 23456
Phone: (757) 368-3284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 0119001621 | Virginia |
| Hospitals / Military Hospital | 286500000X | 0119001621 | Virginia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 0119001621 | Virginia |
Profile Details
| NPI number | 1275874125 |
|---|---|
| LBN Legal business name | Fackrell, Alexandra |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2013 |
| Last updated | Jul 23rd, 2018 - about 6 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 | 1275874125 | NPPES |
| Virginia | Other | MEDICARE GROUP | C05501 |
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