Provider Demographics
NPI:1619860905
Name:FRITZLER, ALEXANDER LAVERNE
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:LAVERNE
Last Name:FRITZLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 CHAPIN ST
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-2423
Mailing Address - Country:US
Mailing Address - Phone:308-207-5817
Mailing Address - Fax:
Practice Address - Street 1:102 N. MILLER ST.
Practice Address - Street 2:
Practice Address - City:HAY SPRINGS
Practice Address - State:NE
Practice Address - Zip Code:69347
Practice Address - Country:US
Practice Address - Phone:308-638-4519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker