Niehaus, Alexa Helena

Niehaus, Alexa Helena is an individual health care provider with primary practice located at 2920 S Mcintire Dr Suite 350, Bloomington IN 47403-4221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Niehaus, Alexa Helena can be contacted via phone (812) 353-3277.

Contact Information

Primary practice address
2920 S Mcintire Dr Suite 350 Bloomington IN 47403-4221
Phone: (812) 353-3277
Fax: (812) 339-2934
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001464A Indiana

Profile Details

NPI number 1366573966
LBN Legal business name Niehaus, Alexa Helena
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Aug 10th, 2023 - about 3 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 1366573966 NPPES
Indiana MEDICAID 300009631
Indiana Other 090540119

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