Healthcare Provider Details

I. General information

NPI: 1275745598
Provider Name (Legal Business Name): ALAN C. REIFERT LLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 MILLER RD
PLAINWELL MI
49080-1077
US

IV. Provider business mailing address

1143 N PEACH CT
PLAINWELL MI
49080-2013
US

V. Phone/Fax

Practice location:
  • Phone: 269-685-9798
  • Fax: 269-685-6975
Mailing address:
  • Phone: 269-685-9798
  • Fax: 269-685-6975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6301010936
License Number StateMI

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: