Provider Demographics
NPI:1225372725
Name:ALDSTADT, MARGARET
Entity Type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:
Last Name:ALDSTADT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3806 HIGHWAY 31 W
Mailing Address - Street 2:
Mailing Address - City:COTTONTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37048-4846
Mailing Address - Country:US
Mailing Address - Phone:615-828-5723
Mailing Address - Fax:
Practice Address - Street 1:3806 HIGHWAY 31 W
Practice Address - Street 2:
Practice Address - City:COTTONTOWN
Practice Address - State:TN
Practice Address - Zip Code:37048-4846
Practice Address - Country:US
Practice Address - Phone:615-828-5723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program