Provider Demographics
NPI:1548056708
Name:FALLER, ALEXANDER J (PA-S)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:J
Last Name:FALLER
Suffix:
Gender:
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6324 DEWBERRY CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-9142
Mailing Address - Country:US
Mailing Address - Phone:513-373-3282
Mailing Address - Fax:
Practice Address - Street 1:6324 DEWBERRY CT
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-9142
Practice Address - Country:US
Practice Address - Phone:513-373-3282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program