Alexandr Michael Federer

LBN: Alexandr Michael Federer
Alexandr Michael Federer is an health care organization with primary practice located at 323 S Mcqueen St , Florence SC 29501-4722. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Alexandr Michael Federer can be contacted via phone (843) 673-0727, or through Federer, Alexandr Michael via phone (843) 673-0727.

Contact Information

Primary practice address
323 S Mcqueen St Florence SC 29501-4722
Phone: (843) 673-0727
Fax: (843) 667-1549
Website:
Map and Directions
Authorized official contact:
Name: Federer, Alexandr Michael PH.D.
Phone: (843) 673-0727

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 569 South Carolina

Profile Details

NPI number 1639210008
LBN Legal business name Alexandr Michael Federer
DBA Doing business as
Authorized official Federer, Alexandr Michael PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639210008 NPPES
South Carolina MEDICAID PS0173

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