Alexander, Todd David
Alexander, Todd David is an sole proprietor health care provider with primary practice located at 5875 E Riverside Blvd , Rockford IL 61114-4937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Alexander, Todd David can be contacted via phone (815) 381-7431.Contact Information
Primary practice address
5875 E Riverside Blvd
Rockford IL 61114-4937
Phone: (815) 381-7431
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 036087626 | Illinois |
Profile Details
| NPI number | 1972572139 |
|---|---|
| LBN Legal business name | Alexander, Todd David |
| Credentials | MD SC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Dec 17th, 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 | 1972572139 | NPPES |
| Illinois | MEDICAID | 036087626 | |
| Illinois | Other | DB6066 | |
| Illinois | Other | 10107489 | |
| Illinois | Other | 140007501 |
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