Provider Demographics
NPI:1992932446
Name:ALTER HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ALTER HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ALTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:260-724-8884
Mailing Address - Street 1:1741 MORNINGSTAR BLVD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IN
Mailing Address - Zip Code:46733-3810
Mailing Address - Country:US
Mailing Address - Phone:260-724-8884
Mailing Address - Fax:260-724-8883
Practice Address - Street 1:1741 MORNINGSTAR BLVD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IN
Practice Address - Zip Code:46733-3810
Practice Address - Country:US
Practice Address - Phone:260-724-8884
Practice Address - Fax:260-724-8883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001428A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty