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Contact Information

JEFFREY ALEXANDER, DO
351 CONSORT DR
BALLWIN, MO63011-4439
 Phone: 636-200-4242
 Fax: 636-200-4243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY ALEXANDER · (Male)

NPI # 1669539987
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/03/2007
Last updated 08/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036134088
  • MO License # 2000157476
Hospital affiliation(s)
  • GATEWAY REGIONAL MEDICAL CENTER - (Acute Care)
    2100 MADISON AVENUE
    GRANITE CITY, IL 62040
  • SAINT ANTHONY'S HEALTH CENTER - (Acute Care)
    ST ANTHONY'S WAY
    ALTON, IL 62002
  • VISTA MEDICAL CENTER EAST - (Acute Care)
    1324 NORTH SHERIDAN ROAD
    WAUKEGAN, IL 60085
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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