Minanov, Alexia Elisabeth
Minanov, Alexia Elisabeth is an individual health care provider with primary practice located at 30061 Schoenherr Rd Suite A, Warren MI 48088-3133. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Minanov, Alexia Elisabeth can be contacted via phone (586) 558-2111.Contact Information
Primary practice address
30061 Schoenherr Rd Suite A
Warren MI 48088-3133
Phone: (586) 558-2111
Fax: (586) 558-2169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | AM081003 | Michigan |
Profile Details
| NPI number | 1255442224 |
|---|---|
| LBN Legal business name | Minanov, Alexia Elisabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255442224 | NPPES |
| Michigan | MEDICAID | 4688593 |
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