Gavaga, Alexa Mary Clare

Gavaga, Alexa Mary Clare is an individual health care provider with primary practice located at 835 S Main St Ste 1 , Oconto Falls WI 54154-1282. 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 / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gavaga, Alexa Mary Clare can be contacted via phone (920) 855-2823.

Contact Information

Primary practice address
835 S Main St Ste 1 Oconto Falls WI 54154-1282
Phone: (920) 855-2823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 70162-20 Wisconsin

Profile Details

NPI number 1093166266
LBN Legal business name Gavaga, Alexa Mary Clare
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2016
Last updated Aug 30th, 2019 - about 7 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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