Altabe, Madeline

Altabe, Madeline is an sole proprietor health care provider with primary practice located at 7747 Mitchell Blvd Ste B , Trinity FL 34655-4725. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Altabe, Madeline can be contacted via phone (404) 941-6402.

Contact Information

Primary practice address
7747 Mitchell Blvd Ste B Trinity FL 34655-4725
Phone: (404) 941-6402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PY4848 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY4848 Florida

Profile Details

NPI number 1417948993
LBN Legal business name Altabe, Madeline
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Dec 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417948993 NPPES
Other 59354 BC/BS FLORIDA

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