Mcrae, Alexis Nicole

Mcrae, Alexis Nicole is an individual health care provider with primary practice located at 9600 E Independence Blvd Ste B , Matthews NC 28105-4628. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mcrae, Alexis Nicole can be contacted via phone (704) 815-5624.

Contact Information

Primary practice address
9600 E Independence Blvd Ste B Matthews NC 28105-4628
Phone: (704) 815-5624
Fax: (704) 815-5621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 224798 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200101096 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 87706 South Carolina

Profile Details

NPI number 1740226760
LBN Legal business name Mcrae, Alexis Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Apr 18th, 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 1740226760 NPPES
North Carolina MEDICAID 89129RR

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