Theisen, Alexandra Selim
Theisen, Alexandra Selim is an individual health care provider with primary practice located at 14700 E Old Us Highway 12 , Chelsea MI 48118-1185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Theisen, Alexandra Selim can be contacted via phone (734) 936-7175.Contact Information
Primary practice address
14700 E Old Us Highway 12
Chelsea MI 48118-1185
Phone: (734) 936-7175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | AT67486 | Michigan |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301067486 | Michigan |
Profile Details
| NPI number | 1124169040 |
|---|---|
| LBN Legal business name | Theisen, Alexandra Selim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124169040 | NPPES |
| Michigan | MEDICAID | 104217061 | |
| Michigan | Other | AT067486 | |
| Michigan | Other | 250011706 | |
| Michigan | Other | 127928 | |
| Michigan | Other | DR810358 |
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