Federer, Alexandr Michal

Federer, Alexandr Michal is an sole proprietor health care provider with primary practice located at 323 S. Mcqueen St , Florence SC 29501. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Federer, Alexandr Michal can be contacted via phone (843) 992-2149.

Contact Information

Primary practice address
323 S. Mcqueen St Florence SC 29501
Phone: (843) 992-2149
Fax: (843) 992-2149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 569 South Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 569 South Carolina

Profile Details

NPI number 1700896453
LBN Legal business name Federer, Alexandr Michal
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Dec 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700896453 NPPES
South Carolina MEDICAID PS0173

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