Altman Chiropractic P.a.
Organization Active NPI Chiropractor · Wauchula, FL
NPI 1477595817 · NPPES record last updated Feb 15, 2008
Key facts
- NPI
- 1477595817
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH7677 (FL)
- Legal business name
- ALTMAN CHIROPRACTIC P.A.
- Practice address
- 431 Carlton St
Wauchula, FL 33873-3400 - Phone
- (863) 767-1019
- Fax
- (863) 767-1023
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. James G Altman, D.C.
- Title
- President
- Phone
- (863) 767-1019
Practitioners 1
-
James Gregory Altman, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031211001014 | FL | Part B Supplier - Clinic/Group Practice | 7618873381 |
Receives reassigned benefits from 1 practitioner Practice locations: Wauchula, FL |
National Provider Directory
Locations
910 S 6th Ave
Wauchula, FL 33873
Phone (863) 767-1019
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH7677 | FL | Yes |
Addresses
Primary practice location
431 Carlton St
Wauchula, FL 33873-3400
Mailing address
431 Carlton St
Wauchula, FL 33873-3400
Phone (863) 767-1019
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 652544 | Other | FL | UHC |
Other providers in Wauchula, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.