Alexandrer Burlachko
Individual provider Active NPI Community Health Worker · Grand Forks, ND
NPI 1942949359 · NPPES record last updated Jun 2, 2022
Key facts
- NPI
- 1942949359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2402 30TH Ave S Apt 218
Grand Forks, ND 58201-6580 - Phone
- (701) 317-3596
- NPI assigned
- Jun 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
2402 30TH Ave S Apt 218
Grand Forks, ND 58201-6580
Mailing address
439 Burdick CT
Grand Forks, ND 58203-2663
Phone (828) 280-7326
Other providers in Grand Forks, ND
- Mackenzie Bullerjahn
- Alicia Bullinger
- Michayla Ann Burckhard
- Kristie Lea Burke
- McKenzie Burke
- Andrew Burnett
- Christina Marie Burns
- Darlene Burns
- Elizabeth A. Burns
- Amanda Joy Burris
All providers in Grand Forks, ND · Community Health Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.