Roussos, Alexander
Roussos, Alexander is an individual health care provider with primary practice located at 4860 Y St Ste 2700 , Sacramento CA 95817-2307. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Roussos, Alexander can be contacted via phone (916) 734-6688.Contact Information
Primary practice address
4860 Y St Ste 2700
Sacramento CA 95817-2307
Phone: (916) 734-6688
Fax: (916) 734-6827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 125071691 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Illinois | |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 20A19536 | California |
Profile Details
| NPI number | 1700380607 |
|---|---|
| LBN Legal business name | Roussos, Alexander |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2018 |
| Last updated | Jun 24th, 2022 - about 4 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 | 1700380607 | NPPES |
| Illinois | Other | 125071691 | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
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