Altekruse, Philip D
Altekruse, Philip D is an individual health care provider with primary practice located at 859 Willard St Suite 430, Quincy MA 02169-7482. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Altekruse, Philip D can be contacted via phone (617) 847-1950.Contact Information
Primary practice address
859 Willard St Suite 430
Quincy MA 02169-7482
Phone: (617) 847-1950
Fax: (617) 774-1490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 57260 | Massachusetts |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 57260 | Massachusetts |
Profile Details
| NPI number | 1255354049 |
|---|---|
| LBN Legal business name | Altekruse, Philip D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255354049 | NPPES |
| Massachusetts | Other | Y02415 | BLUE CROSS |
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