Provider Demographics
NPI:1174653125
Name:ALERT CARE CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:ALERT CARE CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:CARTALES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-703-0806
Mailing Address - Street 1:9882 COLERAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1431
Mailing Address - Country:US
Mailing Address - Phone:513-703-0806
Mailing Address - Fax:239-772-3960
Practice Address - Street 1:9882 COLERAIN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1431
Practice Address - Country:US
Practice Address - Phone:513-703-0806
Practice Address - Fax:239-772-3960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1659111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0811581Medicaid
OH=========026OtherCARE SOURCE
OH0811581Medicaid
OHCA0685602Medicare PIN
OH0811581Medicaid