Theriault, Alexandra
Theriault, Alexandra is an individual health care provider with primary practice located at 1420 W Canal Ct #50, Littleton CO 80120-5655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Theriault, Alexandra can be contacted via phone (303) 795-2030.Contact Information
Primary practice address
1420 W Canal Ct #50
Littleton CO 80120-5655
Phone: (303) 795-2030
Fax: (303) 795-2153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 38122 | Colorado |
Profile Details
| NPI number | 1609980713 |
|---|---|
| LBN Legal business name | Theriault, Alexandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Feb 1st, 2010 - about 14 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 | 1609980713 | NPPES |
| Colorado | MEDICAID | 59251573 |
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