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Individual
ALEXANDER SCHAEFER
Active
Individual
ALEXANDER SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012480
IL
225100000X
Physical Therapist
PT2174
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
478143
UHA
HI
01
—
99017685996793
TRICARE CHAMPUS
HI
01
—
A0238111
HMSA, HMSA QUEST, 65CP
HI
Enumeration date
08/12/2006
Last updated
11/26/2012
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