Provider Demographics
NPI:1174735013
Name:JOSEPH ALTIER DC PC
Entity type:Organization
Organization Name:JOSEPH ALTIER DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-527-7463
Mailing Address - Street 1:621 N 4TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-1750
Mailing Address - Country:US
Mailing Address - Phone:724-527-7463
Mailing Address - Fax:724-527-2992
Practice Address - Street 1:621 N 4TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-1750
Practice Address - Country:US
Practice Address - Phone:724-527-7463
Practice Address - Fax:724-527-2992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007695L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA134248Medicare PIN
PAU79444Medicare UPIN