MEDICARE: ALEXANDER ONI

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	111NR0400X	Rehabilitation Chiropractor	2424	DC

General Provider Information

NPI Number	:	1851720015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER ONI

Provider Business Mailing Address
First Line	:	4219 CEDAR TREE LN
Second Line	:
City	:	BURTONSVILLE
State	:	MD
Zip	:	20866-1368
Country	:	US
Telephone Number	:	202-355-2317
Fax Number	:

Provider Business Practice Location Address
First Line	:	4219 CEDAR TREE LN
Second Line	:
City	:	BURTONSVILLE
State	:	MD
Zip	:	20866-1368
Country	:	US
Telephone Number	:	202-355-2317
Fax Number	:

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

Provider Enumeration Date	:	11/07/2013
Last Update Date	:	11/07/2013

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Directions to “ ALEXANDER ONI ” Practice Location

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