Alter Chiropractic Center | |
4222 Hobson Ct, Fort Wayne, IN 46815-8648 | |
(260) 485-3146 | |
(260) 486-5278 |
Full Name | Alter Chiropractic Center |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 4222 Hobson Ct, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760527709 | NPI | - | NPPES |
230760 | Other | IN | MEDICARE ID |
100081870B | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08000142A (Indiana) | Primary |
Provider Name | Jon R Alter |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1689865115 PECOS PAC ID: 9830120286 Enrollment ID: I20120124000828 |
Mailing Address | Practice Location Address |
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Alter Chiropractic Center 4222 Hobson Ct, Fort Wayne, IN 46815-8648 Ph: (260) 485-3146 | Alter Chiropractic Center 4222 Hobson Ct, Fort Wayne, IN 46815-8648 Ph: (260) 485-3146 |
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