James Gregory Altman, D.C.

Individual provider Active NPI Chiropractor · Wauchula, FL

NPI 1891758108 · NPPES record last updated Feb 15, 2008

Key facts

NPI
1891758108
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
CH7677 (FL)
Practice address
431 Carlton St
Wauchula, FL 33873-3400
Phone
(863) 767-1019
Fax
(863) 767-1023
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

431 Carlton St
Wauchula, FL 33873-3400

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040106000544 FL Practitioner - Chiropractic 0244136919 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Altman Chiropractic P.a. Chiropractor Current
since Sep 23, 2003
Accepting new patients

Locations

431 Carlton St
Wauchula, FL 33873
Phone (863) 767-1019

910 S 6th Ave
Wauchula, FL 33873
Phone (863) 767-1019

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
652544OtherFLUNITED HEALTH

Other providers in Wauchula, FL

All providers in Wauchula, FL · Chiropractor in Florida

Sources for this page

Verify at the official NPI Registry.