Provider Demographics
NPI:1598987604
Name:WILLIAM J ALFIERI D.C., P.C.
Entity Type:Organization
Organization Name:WILLIAM J ALFIERI D.C., P.C.
Other - Org Name:ALFIERI CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ALFIERI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:269-327-8990
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIWM004080111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI764733OtherFIRST HEALTH
MI649415OtherACN
MI138342OtherPREFERRED CHOICES PPO
MI0C95034OtherMEDICARE PART B
MI4430054OtherIBA
MI4430054OtherUNITED HEALTHCARE
0C95034OtherMEDICARE ID TYPE UNSPECIF
MI155514OtherGREAT LAKES HEALTH PLAN
MI649415OtherACN