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
Phone: (414) 302-9196
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346223161 | NPPES |
| Wisconsin | MEDICAID | 32112900 | |
| Wisconsin | Other | 050049470 |
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