Iezza, Alexander Paul

Iezza, Alexander Paul is an individual health care provider with primary practice located at 208 Concourse Blvd Ste 1 , Santa Rosa CA 95403-8210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Iezza, Alexander Paul can be contacted via phone (707) 544-3400.

Contact Information

Primary practice address
208 Concourse Blvd Ste 1 Santa Rosa CA 95403-8210
Phone: (707) 544-3400
Fax: (707) 544-0137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A92670 California

Profile Details

NPI number 1265550743
LBN Legal business name Iezza, Alexander Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jun 30th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265550743 NPPES
California MEDICAID 00A92670

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