Edward Altman, D.C.

Individual provider Active NPI Chiropractor · Albuquerque, NM

NPI 1720170392 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720170392
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
1403 (NM)
Practice address
9412 Indian School Rd NE
Albuquerque, NM 87112-2878
Phone
(505) 298-7371
Fax
(505) 298-7326
NPI assigned
Sep 29, 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
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1403NMMDPeer Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1403 NM Yes

Addresses

Primary practice location

9412 Indian School Rd NE
Albuquerque, NM 87112-2878

Mailing address

9412 Indian School Road
Albuquerque, NM 87112
Phone (505) 298-7371

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Chiropractor in New Mexico

Sources for this page

Verify at the official NPI Registry.