Theisen, Alexandra Nicole
Theisen, Alexandra Nicole is an individual health care provider with primary practice located at 1 Childrens Way # 512 , Little Rock AR 72202-3500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is her primary health care specialty. Theisen, Alexandra Nicole can be contacted via phone (501) 364-1100.Contact Information
Primary practice address
1 Childrens Way # 512
Little Rock AR 72202-3500
Phone: (501) 364-1100
Fax: (501) 364-4052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-17953 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2022019876 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | 2022019876 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | E-17953 | Arkansas |
Profile Details
| NPI number | 1225486160 |
|---|---|
| LBN Legal business name | Theisen, Alexandra Nicole |
| Credentials | MD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2016 |
| Last updated | Jul 2nd, 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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