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Contact Information

DALE R ALT, DC
127 PARK AVE
BEAVER DAM, WI53916-2107
 Phone: 920-887-3717
 Fax: 920-887-0220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for DALE R ALT · (Male)

NPI Number 1003845587
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 06/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2007
  • WI Medicaid 38833700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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