Provider Demographics
NPI:1487806527
Name:ALTERNATIVE HEALTHCARE
Entity type:Organization
Organization Name:ALTERNATIVE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSCIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:MCWHORTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-876-8737
Mailing Address - Street 1:13203 N 103RD AVE
Mailing Address - Street 2:F-3
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3028
Mailing Address - Country:US
Mailing Address - Phone:623-876-8737
Mailing Address - Fax:623-876-9305
Practice Address - Street 1:13203 N 103RD AVE
Practice Address - Street 2:F-3
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3028
Practice Address - Country:US
Practice Address - Phone:623-876-8737
Practice Address - Fax:623-876-9305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDC4616A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZDC 4616AMedicare PIN