Individual
ALIX ASHARE
Active
Individual
ALIX ASHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14405
NH
207R00000X
Internal Medicine Physician
33768
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
14405
NH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
33768
IA
207RP1001X
Pulmonary Disease Physician
Primary
14405
NH
207RP1001X
Pulmonary Disease Physician
33768
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016699
—
VT
05
—
1269407
—
IA
05
—
30208952
—
NH
01
—
39277
WELLMARK BCBS
IA
Enumeration date
01/19/2006
Last updated
07/12/2011
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