MEDICARE: MRS. CHRISTY JOY ALEXANDER P.A.-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	5601002800	MI

General Provider Information

NPI Number	:	1508854035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTY JOY ALEXANDER P.A.-C

Provider Business Mailing Address
First Line	:	3074 N US 31 S
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4533
Country	:	US
Telephone Number	:	231-935-0913
Fax Number	:	231-935-0454

Provider Business Practice Location Address
First Line	:	647 E EIGHTH ST
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-2630
Country	:	US
Telephone Number	:	231-922-0400
Fax Number	:	855-586-8399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	02/15/2024

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