Mierzwa, Alexis
Mierzwa, Alexis is an individual health care provider with primary practice located at 650 Cedar Creek Grade Suite 211, Winchester VA 22601-6452. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mierzwa, Alexis can be contacted via phone (540) 486-5111.Contact Information
Primary practice address
650 Cedar Creek Grade Suite 211
Winchester VA 22601-6452
Phone: (540) 486-5111
Fax: (540) 486-5112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401412114 | Virginia |
| Dental Providers / Dentist | 122300000X | 052401 | New York |
Profile Details
| NPI number | 1629141452 |
|---|---|
| LBN Legal business name | Mierzwa, Alexis |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Aug 10th, 2015 - about 10 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 | 1629141452 | NPPES |
| New York | MEDICAID | 02738663 |
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