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Contact Information

ALEXANDRIA RUZICKA, PA-C
4411 ALBY STREET
ALTON, IL62002
 Phone: 618-474-8052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ALEXANDRIA RUZICKA · (Female)

NPI # 1104247741
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/29/2013
Last updated 06/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085.004855
Hospital affiliation(s) Not Available
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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