Provider Demographics
NPI:1457508517
Name:ALBERTY, JAMES RACHAUN (BS, DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RACHAUN
Last Name:ALBERTY
Suffix:
Gender:M
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3714 WOODLAKE RD
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-6560
Mailing Address - Country:US
Mailing Address - Phone:478-714-2626
Mailing Address - Fax:
Practice Address - Street 1:1374 E 36TH ST
Practice Address - Street 2:SUITE 2801 B
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-4115
Practice Address - Country:US
Practice Address - Phone:216-400-7474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008368111N00000X
OH4036111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor