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ALEXIS C ALVARADO, PA-C – NPI #1174861090
Medical

NPI Profile for ALEXIS C ALVARADO in MERRILLVILLE, IN.

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Contact Information

ALEXIS C ALVARADO, PA-C
8687 CONNECTICUT ST
STE D
MERRILLVILLE, IN  46410-5541
 Phone: 219-750-9630
 Fax: 219-750-9451
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Medical

 363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ALEXIS C ALVARADO · (Female)

NPI # 1174861090
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/28/2013
Last updated 11/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085-004592
  • IN License # 10001662A
  • IN Medicaid 201235280
Hospital affiliation(s)
  • METHODIST HOSPITALS INC - (Acute Care)
    600 GRANT ST
    GARY, IN 46402
  • ST MARY MEDICAL CENTER INC - (Acute Care)
    1500 S LAKE PARK AVE
    HOBART, IN 46342
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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