Healthcare Provider Details

I. General information

NPI: 1558309815
Provider Name (Legal Business Name): JAMES TRUMAN ALEXANDER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 12/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 EGAN DR # 100
SAVAGE MN
55378-2024
US

IV. Provider business mailing address

2655 88TH CT W
NORTHFIELD MN
55057-4769
US

V. Phone/Fax

Practice location:
  • Phone: 952-746-4162
  • Fax:
Mailing address:
  • Phone: 952-457-5236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4812
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: