Provider Demographics
NPI:1285156612
Name:PINDER, ALEC JAMES
Entity type:Individual
Prefix:
First Name:ALEC
Middle Name:JAMES
Last Name:PINDER
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 1:12188-B MERIDIAN STREET
Mailing Address - Street 2:250
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032
Mailing Address - Country:US
Mailing Address - Phone:317-706-2361
Mailing Address - Fax:317-706-2362
Practice Address - Street 1:12188B N MERIDIAN ST STE 250
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4901
Practice Address - Country:US
Practice Address - Phone:317-706-2361
Practice Address - Fax:317-706-2362
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-07
Last Update Date:2017-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10002239A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant