Lelchuk, Alexandra
Lelchuk, Alexandra is an individual health care provider with primary practice located at 6815 118Th Ave , Kenosha WI 53142-8420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as her primary health care specialty. Lelchuk, Alexandra can be contacted via phone (262) 857-5600.Contact Information
Primary practice address
6815 118Th Ave
Kenosha WI 53142-8420
Phone: (262) 857-5600
Fax: (262) 857-1171
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 21245 | Wisconsin |
Profile Details
NPI number | 1336594910 |
---|---|
LBN Legal business name | Lelchuk, Alexandra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 2nd, 2016 |
Last updated | Jan 12th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336594910 | NPPES |
Wisconsin | MEDICAID | 100182500 |
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