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
Fax: (312) 238-1219
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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 1194103036 NPPES
Texas Other S4490 TEXAS MEDICAL LICENSE

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