Starr, Alexander

Starr, Alexander is an individual health care provider with primary practice located at 1726 Shawano Ave , Green Bay WI 54303-3216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Starr, Alexander can be contacted via phone (920) 884-3135.

Contact Information

Primary practice address
1726 Shawano Ave Green Bay WI 54303-3216
Phone: (920) 884-3135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036096343 Illinois
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 69155-20 Wisconsin

Profile Details

NPI number 1790722619
LBN Legal business name Starr, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Oct 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790722619 NPPES
Illinois Other 830007503 MEDICARE RR CARRIER
Illinois MEDICAID 036096343 MEDICARE RR CARRIER

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