Fider, Alex A.S.

Fider, Alex A.S. is an sole proprietor health care provider with primary practice located at 319 Bethany Ln , Shelbyville TN 37160-3453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fider, Alex A.S. can be contacted via phone (931) 684-8029.

Contact Information

Primary practice address
319 Bethany Ln Shelbyville TN 37160-3453
Phone: (931) 684-8029
Fax: (931) 680-9835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD25776 Tennessee

Profile Details

NPI number 1710986880
LBN Legal business name Fider, Alex A.S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Jan 14th, 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 1710986880 NPPES
Tennessee MEDICAID 3810850
Tennessee Other 3074808

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