Healthcare Provider Details

I. General information

NPI: 1053376202
Provider Name (Legal Business Name): SIGITA ALIMENTI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 04/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 MOMANY DRIVE
ST JOSEPH MI
49085-2178
US

IV. Provider business mailing address

405 MOMANY DR
SAINT JOSEPH MI
49085-2178
US

V. Phone/Fax

Practice location:
  • Phone: 269-982-2099
  • Fax: 269-982-1950
Mailing address:
  • Phone: 269-982-2099
  • Fax: 269-982-1950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301080747
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: