Provider Demographics
NPI:1376535633
Name:ALDEN, MICHAEL F (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:ALDEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29484-0097
Mailing Address - Country:US
Mailing Address - Phone:843-873-0081
Mailing Address - Fax:843-821-4310
Practice Address - Street 1:300 N CEDAR ST
Practice Address - Street 2:SUITE E
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6433
Practice Address - Country:US
Practice Address - Phone:843-873-0081
Practice Address - Fax:843-821-4310
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCU49344Medicare UPIN
SCU493440282Medicare PIN