Weiss, Alexa Nicole

Weiss, Alexa Nicole is an individual health care provider with primary practice located at 602 N Jackson Ave , Springfield MN 56087-4502. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dental Therapist. Dental Providers / Dental Therapist is her primary health care specialty. Weiss, Alexa Nicole can be contacted via phone (507) 723-4375.

Contact Information

Primary practice address
602 N Jackson Ave Springfield MN 56087-4502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H11217 Minnesota
Dental Providers / Dental Therapist 125J00000X DT145 Minnesota

Profile Details

NPI number 1255084166
LBN Legal business name Weiss, Alexa Nicole
Credentials LDH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2022
Last updated Jun 28th, 2022 - about 3 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.

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