Provider Demographics
NPI:1699091306
Name:JOSEPH F ALEXANDER JR MD INC
Entity type:Organization
Organization Name:JOSEPH F ALEXANDER JR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MA/OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RASHELLE
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:SPONSELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-836-7110
Mailing Address - Street 1:3090 W MARKET ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3608
Mailing Address - Country:US
Mailing Address - Phone:330-836-7110
Mailing Address - Fax:330-836-7423
Practice Address - Street 1:3090 W MARKET ST
Practice Address - Street 2:SUITE
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3608
Practice Address - Country:US
Practice Address - Phone:330-836-7110
Practice Address - Fax:330-836-7423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35039562207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty