Provider Demographics
NPI:1568685261
Name:ALTERNATIVE HEALTHCARE ASSOCIATES INC
Entity Type:Organization
Organization Name:ALTERNATIVE HEALTHCARE ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:THEODORE
Authorized Official - Last Name:GACSI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-951-4015
Mailing Address - Street 1:10613 NORTH HAYDEN ROAD
Mailing Address - Street 2:SUITE J107
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5576
Mailing Address - Country:US
Mailing Address - Phone:480-951-4015
Mailing Address - Fax:480-998-8924
Practice Address - Street 1:10613 NORTH HAYDEN ROAD
Practice Address - Street 2:SUITE J107
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5576
Practice Address - Country:US
Practice Address - Phone:480-951-4015
Practice Address - Fax:480-998-8924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4666111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0941640OtherBLUE CROSS BLUE SHIELD PI