Provider Demographics
NPI:1659676492
Name:ALEXANDER AND ASSOCIATES GROUP, LLC
Entity Type:Organization
Organization Name:ALEXANDER AND ASSOCIATES GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:775-762-7008
Mailing Address - Street 1:3605 SHANDWICK PL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6418
Mailing Address - Country:US
Mailing Address - Phone:775-762-7008
Mailing Address - Fax:
Practice Address - Street 1:3605 SHANDWICK PL
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6418
Practice Address - Country:US
Practice Address - Phone:775-762-7008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1408103TC0700X
AL27273225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51130442OtherBLUE CROSS AND BLUE SHIELD OF ALABAMA
AL102I683407Medicare UPIN