Alexander, Andrew Kyle
Alexander, Andrew Kyle is an individual health care provider with primary practice located at 2253 W Mason St , Green Bay WI 54303-4706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Alexander, Andrew Kyle can be contacted via phone (920) 327-7300.Contact Information
Primary practice address
2253 W Mason St
Green Bay WI 54303-4706
Phone: (920) 327-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 50089 | Wisconsin |
Profile Details
| NPI number | 1780737155 |
|---|---|
| LBN Legal business name | Alexander, Andrew Kyle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Nov 18th, 2021 - about 5 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 | 1780737155 | NPPES |
| Wisconsin | MEDICAID | 35296600 | |
| Wisconsin | Other | 50089-20 |
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