Jan E Alexander Md Pllc | |
2 Saint Vincent Cir Little Rock AR 72205-5423 | |
(501) 223-9948 | |
Not Available |
Full Name | Jan E Alexander Md Pllc |
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Speciality | Psychiatry & Neurology |
Location | 2 Saint Vincent Cir, Little Rock, Arkansas |
Authorized Official Name and Position | Jan Alexander (OWNER) |
Authorized Official Contact | 5012239948 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jan E Alexander Md Pllc 1708 Madden Rd Jacksonville AR 72076-2631 Ph: () - | Jan E Alexander Md Pllc 2 Saint Vincent Cir Little Rock AR 72205-5423 Ph: (501) 223-9948 |
NPI Number | 1467755975 |
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Provider Enumeration Date | 12/06/2010 |
Last Update Date | 12/06/2010 |
Medicare PECOS PAC ID | 0840488532 |
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Medicare Enrollment ID | O20101222000212 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467755975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | E5619 (Arkansas) | Primary |
Provider Name | Jan Alexander |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1265657274 PECOS PAC ID: 8820165806 Enrollment ID: I20080916000667 |
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