Basic Information
Provider Information
NPI: 1336538396
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEER
FirstName: ALEXA
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: P.A.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5450 FRANTZ RD STE 360
Address2:  
City: DUBLIN
State: OH
PostalCode: 430164141
CountryCode: US
TelephoneNumber: 6145446155
FaxNumber: 6145446370
Practice Location
Address1: 7450 HOSPITAL DR STE 300
Address2:  
City: DUBLIN
State: OH
PostalCode: 430169687
CountryCode: US
TelephoneNumber: 6145448104
FaxNumber: 6145330128
Other Information
ProviderEnumerationDate: 01/14/2015
LastUpdateDate: 07/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/14/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X  Y Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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