Provider Demographics
NPI:1821866658
Name:ALEXANDER, ERIC ELIJAH
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:ELIJAH
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:973 CROSS COUNTRY DR W
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3581
Mailing Address - Country:US
Mailing Address - Phone:614-226-7682
Mailing Address - Fax:
Practice Address - Street 1:5878 FOREST HILLS BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2950
Practice Address - Country:US
Practice Address - Phone:614-392-4319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide