Hulfachor, Alexis Marie

Hulfachor, Alexis Marie is an individual health care provider with primary practice located at 11362 Country Club Road , Lawrenceville IL 62439. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Hulfachor, Alexis Marie can be contacted via phone (618) 943-3302.

Contact Information

Primary practice address
11362 Country Club Road Lawrenceville IL 62439
Fax: (618) 943-7589
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Illinois

Profile Details

NPI number 1437709979
LBN Legal business name Hulfachor, Alexis Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2019
Last updated Sep 17th, 2019 - about 5 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 1437709979 NPPES
Illinois MEDICAID 376006178008

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