Anderson, Alexandra
Anderson, Alexandra is an sole proprietor health care provider with primary practice located at 1514 W Devon Ave , Chicago IL 60660. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Anderson, Alexandra can be contacted via phone (773) 465-4500.Contact Information
Primary practice address
1514 W Devon Ave
Chicago IL 60660
Phone: (773) 465-4500
Fax: (773) 353-2102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019025998 | Illinois |
Profile Details
| NPI number | 1700876661 |
|---|---|
| LBN Legal business name | Anderson, Alexandra |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Nov 7th, 2013 - about 13 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 | 1700876661 | NPPES |
| Illinois | Other | 9176963 | DORAL PROVIDER NUMBER |
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