Deporre, Alexandra

Deporre, Alexandra is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Deporre, Alexandra can be contacted via phone (313) 948-1478.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (313) 948-1478
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301502122 Michigan

Profile Details

NPI number 1467831065
LBN Legal business name Deporre, Alexandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2015
Last updated Mar 2nd, 2021 - about 4 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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