Evan Matthew Altman, D.O.

Individual provider Active NPI Psychiatry Physician · Camp Lejeune, NC

NPI 1528048337 · NPPES record last updated Oct 31, 2023

Key facts

NPI
1528048337
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
0102201468 (VA)
Practice address
100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538
Phone
(910) 450-4136
Fax
(910) 450-4558
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2009-01796NCMDPsychiatry Physician
0102201468VAMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2009-01796 NC
Psychiatry Physician 2084P0800X 0102201468 VA Yes

Addresses

Primary practice location

100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538

Mailing address

100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538
Phone (910) 450-4136

Other providers in Camp Lejeune, NC

All providers in Camp Lejeune, NC · Psychiatry Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.