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NPI Code Detail

MEDICARE: ALAN T PHIFER LPN

MEDICARE:   ALAN T PHIFER  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN.124686-MEDSOH

General Provider Information

NPI Number : 1083848154
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN T PHIFER LPN
Provider Business Mailing Address
First Line : 1512 PARKHILL RD
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44121-1740
Country : US
Telephone Number : 216-322-6368
Fax Number :
Provider Business Practice Location Address
First Line : 1512 PARKHILL RD
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44121-1740
Country : US
Telephone Number : 216-322-6368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2009
Last Update Date : 05/05/2009

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Directions to “ ALAN T PHIFER LPN” Practice Location

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