Madrid, Alex R.

Madrid, Alex R. is an individual health care provider with primary practice located at 19900 S Main St Suite 4E, Cornelius NC 28031-6512. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Madrid, Alex R. can be contacted via phone (704) 506-5944.

Contact Information

Primary practice address
19900 S Main St Suite 4E Cornelius NC 28031-6512
Phone: (704) 506-5944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5209 North Carolina

Profile Details

NPI number 1134222920
LBN Legal business name Madrid, Alex R.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Aug 14th, 2009 - about 16 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 1134222920 NPPES
North Carolina MEDICAID 6103419

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