Malkin, Alexis G.
Malkin, Alexis G. is an individual health care provider with primary practice located at 930 Commonwealth Ave , Boston MA 02215-1274. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Low Vision Rehabilitation is her primary health care specialty. Malkin, Alexis G. can be contacted via phone (617) 262-2020.Contact Information
Primary practice address
930 Commonwealth Ave
Boston MA 02215-1274
Phone: (617) 262-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | T2134 | Maryland |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA2134 | Maryland |
Profile Details
| NPI number | 1932355187 |
|---|---|
| LBN Legal business name | Malkin, Alexis G. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2008 |
| Last updated | Feb 7th, 2018 - about 6 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 | 1932355187 | NPPES |
| Maryland | MEDICAID | 417657000 |
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