Provider Demographics
NPI:1891236949
Name:ALERRE, IAN
Entity Type:Individual
Prefix:
First Name:IAN
Middle Name:
Last Name:ALERRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 DILLON CIR
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-1030
Mailing Address - Country:US
Mailing Address - Phone:864-585-3691
Mailing Address - Fax:864-591-3196
Practice Address - Street 1:280 DILLON CIR
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1030
Practice Address - Country:US
Practice Address - Phone:864-585-3691
Practice Address - Fax:864-591-3196
Is Sole Proprietor?:No
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist