Albert Jerviss Alter in Blanchardville - Diagnostic Ultrasound

Albert Jerviss Alter - NPI 1386604346

Albert Jerviss Alter is a Diagnostic Ultrasound in Blanchardville, Wisconsin. Albert Jerviss Alter practices all healthcare services and medical treatments related to Diagnostic Ultrasound. The NPI Number for Albert Jerviss Alter is 1386604346. The last update date is 2019-01-08.

Albert Jerviss Alter's current location address is W9107 State Route 39, Blanchardville, Wisconsin. You can contact this provider via phone number 6085234506 and fax number 6082717015. The mailing address for Albert Jerviss Alter is W9107 State Route 39, Blanchardville, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Albert Jerviss Alter
Address W9107 State Route 39, Blanchardville, Wisconsin
Phone Number 6085234506
Fax Number 6082717015
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1386604346
Provider Enumeration Date 2006-03-24
Last Updated Date 2019-01-08

Provider Mailing Address Detail

Address W9107 State Route 39
City Blanchardville
State Wisconsin (WI)
Post Code 535169671
Phone Number 6085234506
Fax Number 6082717015

Provider's Primary Taxonomy Detail

Speciality Diagnostic Ultrasound
Taxonomy 2085U0001X
Licence No 19772-020
Definition:
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31053200 WI --

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FAQs about Albert Jerviss Alter

What is the unique 10-digit identification code issued to Albert Jerviss Alter by the Centers for Medicare & Medicaid Services?

The Albert Jerviss Alter has been assigned the NPI (National Provider Identifier) 1386604346 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Albert Jerviss Alter located?

The Albert Jerviss Alter is located at W9107 State Route 39, Blanchardville, WI 535169671.

What is Albert Jerviss Alter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Albert Jerviss Alter's specialized field of practice is Diagnostic Ultrasound, and the corresponding taxonomy code that categorizes this area of specialization is 2085U0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1386604346 to Albert Jerviss Alter?

The Albert Jerviss Alter received its 1386604346 assignment from the Centers for Medicare & Medicaid Services on 2006-03-24.

As of what date were the details related to Albert Jerviss Alter most recently updated or revised?

The information pertaining to Albert Jerviss Alter, including its address, specialty, and other relevant details, was last updated or revised on 2019-01-08.

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