Alexa Helena Niehaus in Bloomington - Physician Assistant
Alexa Helena Niehaus - NPI 1366573966
Alexa Helena Niehaus is a Physician Assistant in Bloomington, Indiana. Alexa Helena Niehaus practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Alexa Helena Niehaus is 1366573966. The last update date is 2023-08-10.
Alexa Helena Niehaus's current location address is 2920 S Mcintire Dr, Bloomington, Indiana. You can contact this provider via phone number 8123533277 and fax number 8123392934. The mailing address for Alexa Helena Niehaus is 2920 S Mcintire Dr, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexa Helena Niehaus |
|---|---|
| Address | 2920 S Mcintire Dr, Bloomington, Indiana |
| Phone Number | 8123533277 |
| Fax Number | 8123392934 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1366573966 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2023-08-10 |
Provider Mailing Address Detail
| Address | 2920 S Mcintire Dr |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474034221 |
| Phone Number | 8123533277 |
| Fax Number | 8123392934 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10001464A |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300009631 | IN | -- | |
| 90540119 | IN | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Alexa Helena Niehaus?
The Alexa Helena Niehaus has been issued the NPI (National Provider Identifier) 1366573966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Alexa Helena Niehaus is physically located?
The Alexa Helena Niehaus is situated at the following address: 2920 S Mcintire Dr, Bloomington, IN 474034221.
What is the Alexa Helena Niehaus's specialty and taxonomy code?
The Alexa Helena Niehaus's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366573966 to Alexa Helena Niehaus?
The Centers for Medicare & Medicaid Services assigned the 1366573966 to Alexa Helena Niehaus on 2007-03-08.
As of what date were the Alexa Helena Niehaus's details last updated?
The information pertaining to the Alexa Helena Niehaus, including its address, specialty, and other details, was most recently updated on 2023-08-10.