Healthcare Provider Details

I. General information

NPI: 1003486291
Provider Name (Legal Business Name): ALEXANDER MARCH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 07/08/2021
Certification Date: 07/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4049 LOTUS ST
PLAINFIELD IN
46168-5815
US

IV. Provider business mailing address

4049 LOTUS ST
PLAINFIELD IN
46168-5815
US

V. Phone/Fax

Practice location:
  • Phone: 317-270-4223
  • Fax:
Mailing address:
  • Phone: 317-270-4223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: