Charboneau, Alex James

Charboneau, Alex James is an individual health care provider with primary practice located at 550 S Jackson St , Louisville KY 40202-1622. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Charboneau, Alex James can be contacted via phone (502) 852-5193.

Contact Information

Primary practice address
550 S Jackson St Louisville KY 40202-1622
Phone: (502) 852-5193
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 87076 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 87076 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 60951432 Washington
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 87076-20 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 60508 Kentucky

Profile Details

NPI number 1649731068
LBN Legal business name Charboneau, Alex James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2019
Last updated Sep 1st, 2026 - about last month

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 1649731068 NPPES
Wisconsin MEDICAID 100427680

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