Ingram, Alexandra Alabata

Ingram, Alexandra Alabata is an individual health care provider with primary practice located at 355 Lennon Ln Suite 295, Walnut Creek CA 94598. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Ingram, Alexandra Alabata can be contacted via phone (925) 357-9786.

Contact Information

Primary practice address
355 Lennon Ln Suite 295 Walnut Creek CA 94598
Phone: (925) 357-9786
Fax: (925) 217-7956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1466 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.1466 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9106852 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1063761500
LBN Legal business name Ingram, Alexandra Alabata
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2012
Last updated Nov 26th, 2024 - about 2 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 1063761500 NPPES
Florida MEDICAID 007248400

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