Provider Demographics
NPI:1891032587
Name:FORD, ALEX RICHARD (BOCCPO)
Entity type:Individual
Prefix:MR
First Name:ALEX
Middle Name:RICHARD
Last Name:FORD
Suffix:
Gender:M
Credentials:BOCCPO
Other - Prefix:
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Mailing Address - Street 1:220 WESTINGHOUSE BLVD STE 405
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-4260
Mailing Address - Country:US
Mailing Address - Phone:703-615-6184
Mailing Address - Fax:980-585-3572
Practice Address - Street 1:3581 CENTRE CIR STE 104
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-9742
Practice Address - Country:US
Practice Address - Phone:703-615-6184
Practice Address - Fax:980-585-3572
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist