Alderman, Michael

Alderman, Michael is an sole proprietor health care provider with primary practice located at 415 Walters Pl , Fruitland Park FL 34731-5132. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Alderman, Michael can be contacted via phone (352) 431-0100.

Contact Information

Primary practice address
415 Walters Pl Fruitland Park FL 34731-5132
Phone: (352) 431-0100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-7271-396892 Florida

Profile Details

NPI number 1366156804
LBN Legal business name Alderman, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2023
Last updated Jan 10th, 2023 - about 2 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 1366156804 NPPES
Florida MEDICAID BACB728284

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