Brekken, Alissa
Brekken, Alissa is an individual health care provider with primary practice located at 10401 Anderson Mill Rd Ste 110B , Austin TX 78750-2579. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brekken, Alissa can be contacted via phone (512) 250-5571.Contact Information
Primary practice address
10401 Anderson Mill Rd Ste 110B
Austin TX 78750-2579
Phone: (512) 250-5571
Fax: (512) 331-0960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301096703 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | P7398 | Texas |
Profile Details
| NPI number | 1043414535 |
|---|---|
| LBN Legal business name | Brekken, Alissa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Apr 7th, 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 | 1043414535 | NPPES |
| Texas | MEDICAID | 326111701 | |
| Texas | MEDICAID | 326111702 |
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