Alexis, Athlene A.

Alexis, Athlene A. is an individual health care provider with primary practice located at 10200 W Innovation Dr Suite 700, Milwaukee WI 53226-4825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Alexis, Athlene A. can be contacted via phone (414) 302-9196.

Contact Information

Primary practice address
10200 W Innovation Dr Suite 700 Milwaukee WI 53226-4825
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 34901 Wisconsin

Profile Details

NPI number 1346223161
LBN Legal business name Alexis, Athlene A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Feb 9th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346223161 NPPES
Wisconsin MEDICAID 32112900
Wisconsin Other 050049470

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