Alter, Mark David
Alter, Mark David is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. 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 / Child & Adolescent Psychiatry is his primary health care specialty. Alter, Mark David can be contacted via phone (708) 216-9000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD434911 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101259576 | Virginia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25MA08775500 | New Jersey |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C161292 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 1745 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036139217 | Illinois |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MED-PHYS-LIC-48691 | Montana |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 036139217 | Illinois |
Profile Details
| NPI number | 1730263617 |
|---|---|
| LBN Legal business name | Alter, Mark David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Mar 26th, 2024 - about last year |
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 | 1730263617 | NPPES |
| New Jersey | MEDICAID | 0331082 |
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