Provider Demographics
NPI:1437143203
Name:ALFIERI, WILLIAM JOSEPH (DC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:ALFIERI
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 1:925 W MILHAM AVE
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-1248
Mailing Address - Country:US
Mailing Address - Phone:269-327-8990
Mailing Address - Fax:269-327-6214
Practice Address - Street 1:925 W MILHAM AVE
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-1248
Practice Address - Country:US
Practice Address - Phone:269-327-8990
Practice Address - Fax:269-327-6214
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIWM004080111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIC95034001OtherMEDICARE PART B
4430054OtherUNITED HEALTHCARE
C95034001OtherMEDICARE ID TYPE UNSPECIF
138342OtherCARE CHOICES
138342OtherPREFERRED CHOICES
764733OtherFIRST HEALTH
MIC95034001OtherMEDICARE PART B