Alter, Dennis Thomas
Alter, Dennis Thomas is an sole proprietor health care provider with primary practice located at 21 Hospital Drive Ste. 110, Palm Coast FL 32164-8683. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Alter, Dennis Thomas can be contacted via phone (386) 586-1370.Contact Information
Primary practice address
21 Hospital Drive Ste. 110
Palm Coast FL 32164-8683
Phone: (386) 586-1370
Fax: (386) 586-1369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME0054825 | Florida |
Profile Details
| NPI number | 1659375152 |
|---|---|
| LBN Legal business name | Alter, Dennis Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Oct 23rd, 2008 - about 16 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 | 1659375152 | NPPES |
| Georgia | Other | 200014378 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 370314200 | RAILROAD MEDICARE |
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