Debetencourt, Alexandre Andre

Debetencourt, Alexandre Andre is an individual health care provider with primary practice located at 1000 Bestgate Rd Ste 400 , Annapolis MD 21401-3371. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Debetencourt, Alexandre Andre can be contacted via phone (410) 266-2720.

Contact Information

Primary practice address
1000 Bestgate Rd Ste 400 Annapolis MD 21401-3371
Phone: (410) 266-2720
Fax: (410) 224-0209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C06988 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C06988 Maryland

Profile Details

NPI number 1720553159
LBN Legal business name Debetencourt, Alexandre Andre
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2018
Last updated Nov 26th, 2018 - about 8 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 1720553159 NPPES
Maryland MEDICAID 140207200

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