ALEXANDER M. DEGTYAREULCO PHD – NPI #1841326485
Specialist/Technologist, Other

ALEXANDER DEGTYAREULCO is a technologist located in SACRAMENTO, CA. NPPES has assigned the NPI number 1841326485 to ALEXANDER DEGTYAREULCO on February 26, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALEXANDER DEGTYAREULCO below.

NPI Profile for
ALEXANDER M. DEGTYAREULCO

NPI Number
1841326485
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ALEXANDER M. DEGTYAREULCO
Credentials
PHD
Primary location
2025 MORSE AVE
SACRAMENTO, CA 95825
Phone: (916) 973-6847 Fax: (916) 973-5611
Mailing address
216 F ST #76
DAVIS, CA 95616
Phone: (530) 668-8988 Fax: (530) 668-1229
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.