Provider Demographics
NPI:1841690096
Name:ALEX, JAMES ARUN (MBBS,CSFA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ARUN
Last Name:ALEX
Suffix:
Gender:M
Credentials:MBBS,CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E PINE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-4885
Mailing Address - Country:US
Mailing Address - Phone:615-207-4674
Mailing Address - Fax:
Practice Address - Street 1:7620 N UNIVERSITY ST STE 104
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-8300
Practice Address - Country:US
Practice Address - Phone:309-691-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-25
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant