Provider Demographics
NPI:1699839316
Name:CHIROMED HEALTH ALLIANCE INC
Entity Type:Organization
Organization Name:CHIROMED HEALTH ALLIANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATHALIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DIGIORGIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:866-632-4476
Mailing Address - Street 1:24 NE 24TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-5206
Mailing Address - Country:US
Mailing Address - Phone:866-632-4476
Mailing Address - Fax:954-943-7708
Practice Address - Street 1:24 NE 24TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-5206
Practice Address - Country:US
Practice Address - Phone:866-632-4476
Practice Address - Fax:954-943-7708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AN527Medicare PIN