Haselhorst, Alexandria Joann
Haselhorst, Alexandria Joann is an sole proprietor health care provider with primary practice located at 355 E Erie St , Chicago IL 60611-3167. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Haselhorst, Alexandria Joann can be contacted via phone (312) 238-2870.Contact Information
Primary practice address
355 E Erie St
Chicago IL 60611-3167
Phone: (312) 238-2870
Fax: (312) 238-1219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | S4490 | Texas |
Profile Details
| NPI number | 1194103036 |
|---|---|
| LBN Legal business name | Haselhorst, Alexandria Joann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2015 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1194103036 | NPPES |
| Texas | Other | S4490 | TEXAS MEDICAL LICENSE |
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