Khersonsky, Alexa

Khersonsky, Alexa is an sole proprietor health care provider with primary practice located at 1 Quality Dr , Vacaville CA 95688-9494. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Khersonsky, Alexa can be contacted via phone (707) 624-4000.

Contact Information

Primary practice address
1 Quality Dr Vacaville CA 95688-9494
Phone: (707) 624-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1174835730
LBN Legal business name Khersonsky, Alexa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2010
Last updated Feb 11th, 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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