Killino, Alexis Louise

Killino, Alexis Louise is an sole proprietor health care provider with primary practice located at 454 Elizabeth Ave , Somerset NJ 08873-5111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Killino, Alexis Louise can be contacted via phone (908) 756-2424.

Contact Information

Primary practice address
454 Elizabeth Ave Somerset NJ 08873-5111
Phone: (908) 756-2424
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110008759 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00807800 New Jersey

Profile Details

NPI number 1578291472
LBN Legal business name Killino, Alexis Louise
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2022
Last updated Mar 7th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578291472 NPPES
Virginia MEDICAID 1578291472
Virginia MEDICAID 30017507230001

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