Provider Demographics
NPI:1386602316
Name:ALBERT R. KALTER, D.C.
Entity type:Organization
Organization Name:ALBERT R. KALTER, D.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:KALTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:781-848-8734
Mailing Address - Street 1:400 WASHINGTON ST
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4729
Mailing Address - Country:US
Mailing Address - Phone:781-848-8734
Mailing Address - Fax:781-848-9941
Practice Address - Street 1:400 WASHINGTON ST
Practice Address - Street 2:SUITE # 102
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4729
Practice Address - Country:US
Practice Address - Phone:781-848-8734
Practice Address - Fax:781-848-9941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH 825111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39413OtherBCBSMA GROUP NO.