Iakimenko, Alexandra
Iakimenko, Alexandra is an individual health care provider with primary practice located at 1041 Hemlock Dr , Blue Bell PA 19422-1514. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Iakimenko, Alexandra can be contacted via phone (484) 716-0593.Contact Information
Primary practice address
1041 Hemlock Dr
Blue Bell PA 19422-1514
Phone: (484) 716-0593
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | 0912212 | Pennsylvania |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | RT008192 | Pennsylvania |
Profile Details
NPI number | 1538824156 |
---|---|
LBN Legal business name | Iakimenko, Alexandra |
Credentials | MS, LAT, ATC, EMT-B |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 8th, 2021 |
Last updated | Aug 1st, 2023 - about last year |
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 | 1538824156 | NPPES |
Pennsylvania | Other | 0912212 | EMT |
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