Provider Demographics
NPI:1669219747
Name:CARTWRIGHT, ALEXANDER II
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:CARTWRIGHT
Suffix:II
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 1:68060 COUNTY ROAD 21
Mailing Address - Street 2:
Mailing Address - City:NEW PARIS
Mailing Address - State:IN
Mailing Address - Zip Code:46553-9618
Mailing Address - Country:US
Mailing Address - Phone:574-333-7222
Mailing Address - Fax:
Practice Address - Street 1:68060 COUNTY ROAD 21
Practice Address - Street 2:
Practice Address - City:NEW PARIS
Practice Address - State:IN
Practice Address - Zip Code:46553-9618
Practice Address - Country:US
Practice Address - Phone:574-333-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program